Individual
ASHLEY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3354 JEROME LN, CAHOKIA, IL 62206-2604
(618) 337-9400
Mailing address
827 KAESTNER DR APT 1, DUPO, IL 62239-1266
(618) 789-7495
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.106548
IL
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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