Thomas, Deztine K

Thomas, Deztine K is an individual health care provider with primary practice located at 24910 Las Brisas Rd Ste 117 , Murrieta CA 92562-4035. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Behavior Technician. Other Service Providers / Community Health Worker is her primary health care specialty. Thomas, Deztine K can be contacted via phone (951) 465-3664.

Contact Information

Primary practice address
24910 Las Brisas Rd Ste 117 Murrieta CA 92562-4035
Phone: (951) 465-3664
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1639662786
LBN Legal business name Thomas, Deztine K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2018
Last updated Feb 5th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639662786 NPPES
California MEDICAID 1235649260

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