Individual
MISS CARLIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2132 W CLARIDGE WAY, HANFORD, CA 93230-9144
(559) 816-3109
Mailing address
2132 W CLARIDGE WAY, HANFORD, CA 93230-9144
(559) 816-3109
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
102205
CA
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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