MISS Evonne NA Thomas I, NURSE ASSISTANT
NPI #1306168877 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1306168877
- Entity Type
- Individual
- Name
- MISS Evonne NA Thomas I, NURSE ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Credential
- NURSE ASSISTANT
- Enumeration Date
- Feb 24, 2010
- Last Updated
- Feb 24, 2010
Practice Location
- Address
- 412 W PAULDING RD
- Address 2
- 412 WEST PAULDING ROAD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46807-3430
- Phone
- (260) 745-3619
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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