Individual
CRYSTAL LYNN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4381 MCMILLEN RD, DE SOTO, MO 63020-3213
(636) 633-3297
Mailing address
4381 MCMILLEN RD, DE SOTO, MO 63020-3213
(636) 633-3297
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
68542A
MO
Other
Enumeration date
01/24/2023
Last updated
02/02/2023
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