Individual provider · Type 1 NPI
Detra S. Thomas
Driver · Akron, OH
NPI number
1104670629
Active
Practice location
497 Bacon Ave
Akron, OH 44320-2157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Companion | 372600000X | None listed |
| Driver Primary | 172A00000X | None listed |
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Private Vehicle | 347C00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1104670629
Detra S. Thomas's National Provider Identifier is 1104670629, issued on Apr 11, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Akron, OH. The record was last updated on Apr 11, 2024.