Individual
IVY G THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 DALLAS DR APT 1011, DENTON, TX 76205-6608
(940) 808-8945
Mailing address
1300 DALLAS DR APT 1011, DENTON, TX 76205-6608
(940) 808-8945
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
195592
TX
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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