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