Individual
ELIZABETH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
456 PRICE RD, VICTORIA, TX 77905-2522
(361) 649-6517
Mailing address
456 PRICE RD, VICTORIA, TX 77905-2522
(361) 649-6517
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
159672
TX
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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