Most Relevant Information
Provider Data
| NPI Number: | 1003574856 |
| Provider Name: | JEWELL THOMAS |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/29/2021 |
| Last Updated: | 11/29/2021 |
Provider Practice Location
2137 BANNEKER WAY
SARASOTA
FL
342346304
Practice Location Phone/Fax
| Phone: | 9415444214 |
| Fax: |
Provider Mailing Location
1831 13TH AVE E APT 1104
BRADENTON
FL
342088309
Provider Mailing Phone/Fax
| Phone: | 9415444214 |
| Fax: |