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NPI Code Detail

MEDICARE: MS. KARMELLA T THOMAS RD

MEDICARE: MS. KARMELLA T THOMAS RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1609012160
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KARMELLA T THOMAS RD
Provider Business Mailing Address
First Line : 1664 N VIRGINIA ST # MS 1332
Second Line :
City : RENO
State : NV
Zip : 89557-0002
Country : US
Telephone Number : 775-682-8175
Fax Number : 775-327-2009
Provider Business Practice Location Address
First Line : 6255 SHARLANDS AVE STE C
Second Line :
City : RENO
State : NV
Zip : 89523-2882
Country : US
Telephone Number : 775-784-4474
Fax Number : 775-784-4468
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2009
Last Update Date : 07/29/2020

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