Individual
MS. ALBERTA RAE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
424 SMITH RD, GROTON, NY 13073
(607) 898-9914
Mailing address
424 SMITH RD, GROTON, NY 13073
(607) 898-9914
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
215763
NY
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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