Individual
ALFRED CLIVE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3207 35TH AVE S, MINNEAPOLIS, MN 55406-2115
(612) 999-5079
Mailing address
3207 35TH AVE S, MINNEAPOLIS, MN 55406-2115
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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