Individual
MS. TIA YVETTE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-2569
Mailing address
1017 L ST, SACRAMENTO, CA 95814-3805
(916) 912-2186
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
235833
CA
Other
Enumeration date
09/08/2017
Last updated
01/03/2022
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