Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 11010470 | FL |
NPI | 1730788266 |
---|---|
Provider Name | Aarcha Mary Thomas |
First Address | Bradenton, FL 34211-9500 |
Second Address | Bradenton, FL 34211-9500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2020 |
Last Update Date | 15/12/2021 |