Latrena M Thomas
Latrena M Thomas is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2018
Practice location Address checks out
14091 Summer Breeze Dr EJacksonville, FL 32218-8913
Phone: (804) 502-5840
Fax: (904) 485-8541
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 15IV043 (FL) |
|---|
Record details
| NPI number | 1760971923 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 3, 2018 |
| Last updated in NPPES | May 3, 2018 |
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