Individual
MICHELLE THOMSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6106 91ST ST E, BRADENTON, FL 34202-9654
(954) 263-8220
Mailing address
1116 NIKKI VIEW DR, BRANDON, FL 33511-4868
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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