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Contact Information

MILLENDA THOMAS, LMP
1233 FIRPARK DR. S.E.
LACEY, WA98503
 Phone: 360-701-0364
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
 

Emergency

163WE0003X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MILLENDA THOMAS · (Female)

NPI Number 1144683616
Status Active
Credentials LMP (Licensed Medical Practitioner)
Entity Individual
Enumeration date 04/01/2016
Last updated 04/01/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MA60389073
  • WA License # RN00092848
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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