Most Relevant Information
Provider Data
| NPI Number: | 1003236670 |
| Provider Name: | GWENDOLYN THOMAS |
| Entity Type: | Individual |
| Taxonomy Code: | 372500000X |
| Specialty: | Chore Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/22/2014 |
| Last Updated: | 04/22/2014 |
Provider Practice Location
6023 NW 22ND AVE
MIAMI
FL
331427805
Practice Location Phone/Fax
| Phone: | 7864862895 |
| Fax: |
Provider Mailing Location
6023 NW 22ND AVE
MIAMI
FL
331427805
Provider Mailing Phone/Fax
| Phone: | 7864862895 |
| Fax: |