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Individual

MS. VERDIE LEE THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, PHN, MSN, PNP

Contact information

Practice address
2908 ELLSWORTH ST, BERKELEY, CA 94705-1912
(510) 843-6194
(510) 843-6297
Mailing address
1103 12TH ST, OAKLAND, CA 94607-2709
(510) 652-3300
(510) 652-7720

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2394
CA

Other

Enumeration date
07/19/2012
Last updated
07/19/2012
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