Individual
ANTOINETTE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
524 N WEST BLVD, VINELAND, NJ 08360-2845
(856) 405-4328
Mailing address
524 N WEST BLVD, VINELAND, NJ 08360-2845
(856) 405-4328
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NO12271900
NJ
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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