Individual
AMANDA A THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
892 LORENZ AVE, NORTH BALDWIN, NY 11510-2821
(347) 615-4370
Mailing address
892 LORENZ AVE, NORTH BALDWIN, NY 11510-2821
(347) 615-4370
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
410510-
NY
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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