Individual
JOCQUALA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 LEGACY DR APT 1421, PLANO, TX 75023-2224
(972) 517-8003
(972) 517-8003
Mailing address
801 LEGACY DR APT 1421, PLANO, TX 75023-2224
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
01623732
TX
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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