Individual
VIVIENE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 SUPERIOR RD, EGG HARBOR TOWNSHIP, NJ 08234-4939
(973) 336-3204
Mailing address
502 SUPERIOR RD, EGG HARBOR TOWNSHIP, NJ 08234-4939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
778823
NY
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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