Individual
CODI SUE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD, CLC, CDE
Contact information
Practice address
904 W SUNSET DR, RIVERTON, WY 82501-2307
(307) 349-1804
(307) 851-1465
Mailing address
PO BOX 1606, RIVERTON, WY 82501-0197
(307) 349-1804
(307) 851-1465
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
032
WY
Other
Enumeration date
03/05/2015
Last updated
01/31/2018
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