Individual
EMMALEE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5475 S 500 E, OGDEN, UT 84405-6905
(801) 479-2550
Mailing address
3577 WING POINT DR, MAGNA, UT 84044-2478
(801) 250-6922
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4784779-3102
UT
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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