NPI 1306343058

Michele Marlene Thomas

Practitioner Driver Bronx, NY

Practice location

Address: 1737 Undercliff Ave Ph, Bronx, NY 10453-6737
Phone: (646) 303-2352

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 5767034 (NY)

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Registry record

NPI: 1306343058
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Apr 2018
Record last updated: 10 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.