Elisha Thomason

NPI #1518349083 in Kennett, Missouri

Provider Information

NPI Number
1518349083
Entity Type
Individual
Name
Elisha Thomason
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Jun 22, 2015
Last Updated
Jun 22, 2015

Practice Location

Address
1109 JONES ST
ZIP Code
63857-3824
Phone
(573) 888-6545

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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