Individual
MARTIN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14281 AVENUE 328, VISALIA, CA 93292-9329
(559) 967-1708
Mailing address
14281 AVENUE 328, VISALIA, CA 93292-9329
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT35867
CA
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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