Individual
CONNIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 JASPER CT, POLAND, OH 44514-5211
(330) 518-3719
Mailing address
87 LEIGHTON AVE, BOARDMAN, OH 44512-2910
(862) 704-3380
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
323840200523
OH
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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