Individual
WAYMAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 W 190TH ST, GARDENA, CA 90248-4320
(310) 515-8113
Mailing address
3302 W 115TH ST, INGLEWOOD, CA 90303-3004
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
02/06/2024
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