Bennita Annastassia Thomas, REGISTERED NURSE

NPI #1164902433 in Waco, Texas

Provider Information

NPI Number: 1164902433
Entity Type: Individual
Name: Bennita Annastassia Thomas, REGISTERED NURSE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: REGISTERED NURSE
Enumeration Date: Aug 16, 2018
Last Updated: Aug 16, 2018

Practice Location

Address: 817 SPEIGHT AVE APT 120
City: Waco
State: Texas
ZIP Code: 76706-6802
Phone: (254) 315-2279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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