Thelisha Renee Thomas

NPI #1336446541 in Belleview, Florida

Provider Information

NPI Number: 1336446541
Entity Type: Individual
Name: Thelisha Renee Thomas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Adult Companion
Enumeration Date: Feb 24, 2011
Last Updated: Feb 24, 2011

Practice Location

Address: 11802 SE 71ST AVENUE RD
City: Belleview
State: Florida
ZIP Code: 34420-4672
Phone: (870) 714-5246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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