Individual
TAMARA LU THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
650 YOUNKER CT, FAIRBANKS, AK 99701-7586
(907) 456-1053
(907) 456-2113
Mailing address
650 YOUNKER CT, FAIRBANKS, AK 99701-7586
(907) 456-1053
(907) 456-2113
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
NURP6365
AK
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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