Most Relevant Information
Provider Data
| NPI Number: | 1003658147 |
| Provider Name: | VANESSA THOMAS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | S.2403857-TRNE |
Most Important Dates
| Enumeration Date: | 06/10/2024 |
| Last Updated: | 10/01/2024 |
Provider Practice Location
1865 N RIDGE RD E STE E
LORAIN
OH
440553360
Practice Location Phone/Fax
| Phone: | 2169322800 |
| Fax: |
Provider Mailing Location
1865 N RIDGE RD E STE E
LORAIN
OH
440553360
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |