Individual
CHASE WESLEY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 W 8TH ST FL CENTER2, JACKSONVILLE, FL 32209-6511
(904) 244-5431
Mailing address
655 W 8TH ST FL CENTER2, JACKSONVILLE, FL 32209-6511
(904) 244-5431
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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