Individual
JAIDA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9100 ANDREWS HWY APT 517, ODESSA, TX 79765-1324
(432) 352-4548
Mailing address
9100 ANDREWS HWY APT 517, ODESSA, TX 79765-1324
(432) 352-4548
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330474
MS
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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