Provider Demographics
NPI:1447799101
Name:THOMAS, FLORIA (MBA)
Entity Type:Individual
Prefix:
First Name:FLORIA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3203
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95609-3203
Mailing Address - Country:US
Mailing Address - Phone:916-572-7070
Mailing Address - Fax:916-339-6286
Practice Address - Street 1:2616 GUNN RD
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-4745
Practice Address - Country:US
Practice Address - Phone:916-572-7070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide