Individual
TINA A. THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3722 PARSONS AVE, ANCHORAGE, AK 99508-1216
(907) 258-1141
Mailing address
101 BUNNELL ST APT 4A, ANCHORAGE, AK 99508-2369
(907) 727-1398
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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