Individual
ANNIE THAMPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 N GREENVILLE AVE APT 733, ALLEN, TX 75002-9144
(972) 251-0460
Mailing address
315 N GREENVILLE AVE APT 733, ALLEN, TX 75002-9144
(972) 251-0460
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
922886
TX
Other
Enumeration date
04/25/2020
Last updated
04/25/2020
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