Female

Detra S. Thomas

Driver in Akron, OH(View on Map)

Full Name

Detra S Thomas

NPI Number

1104670629

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/11/2024

Specialties

(Taxonomies)

Code

172A00000X
372600000X
253Z00000X
347C00000X

Primary Taxonomy

Yes
No
No
No

Contact
Information

Purpose

Mailing
Location

Address

497 BACON AVE
497 BACON AVE

City

Akron
Akron

State

OH
OH

Postal Code

44320-2157
44320-2157

Country

US
US

Telephone Number

(330) 410-0600
(330) 410-0600

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/11/2024

Provider Address

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