Thomas, Keyauna C

Thomas, Keyauna C is an individual health care provider with primary practice located at 987 Shady Lane , Glendora CA 91740. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Thomas, Keyauna C can be contacted via phone (626) 824-9019.

Contact Information

Primary practice address
987 Shady Lane Glendora CA 91740
Phone: (626) 824-9019
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1972029981
LBN Legal business name Thomas, Keyauna C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972029981 NPPES
California MEDICAID 96947542D

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