Individual
STACEY LYNN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 JV MANGUBAT DR, WAYNESBORO, TN 38485-2439
(931) 722-3292
(931) 722-7249
Mailing address
506 KILBURN HOLLOW RD, WAYNESBORO, TN 38485-4564
(931) 722-9399
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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