Provider Demographics
NPI:1053407668
Name:THOMAS, HELEN JO (CST)
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:JO
Last Name:THOMAS
Suffix:
Gender:F
Credentials:CST
Other - Prefix:
Other - First Name:JO
Other - Middle Name:JOSEPHINE
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CST
Mailing Address - Street 1:18722 JOHNNY LN
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-6054
Mailing Address - Country:US
Mailing Address - Phone:813-340-9688
Mailing Address - Fax:
Practice Address - Street 1:18722 JOHNNY LN
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-6054
Practice Address - Country:US
Practice Address - Phone:813-340-9688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist