Individual
BERVERLY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9503 CRESSKILL PL, APT-2F, JAMAICA, NY 11435-4428
(718) 671-2100
Mailing address
9503 CRESSKILL PL, APT-2F, JAMAICA, NY 11435-4428
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303579
NY
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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