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NPI Code Detail

MEDICARE: PATRICE MARIE THOMAS CCMA

MEDICARE:   PATRICE MARIE THOMAS  CCMA
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1871454173
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICE MARIE THOMAS CCMA
Provider Business Mailing Address
First Line : 4272 7TH ST SE APT 407
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-3578
Country : US
Telephone Number : 706-352-3167
Fax Number :
Provider Business Practice Location Address
First Line : 1418 MARION BARRY AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-5615
Country : US
Telephone Number : 800-251-8890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2025
Last Update Date : 01/29/2026

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Directions to “ PATRICE MARIE THOMAS CCMA” Practice Location

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