Individual
SAMMY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
8835 NW 3RD CT, CORAL SPRINGS, FL 33071-7423
(954) 340-2172
Mailing address
8835 NW 3RD CT, CORAL SPRINGS, FL 33071-7423
(954) 340-2172
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5148753
FL
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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