Individual
ANGELINA LEE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NAC
Contact information
Practice address
50 CANYON ST, RICHLAND, WA 99352-9420
(509) 578-9109
Mailing address
1548 N EDISON ST APT D102, KENNEWICK, WA 99336-1579
(509) 578-9109
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC60730833
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604738598
UNIFIED BUSINESS IDENTIFIER
WA
Enumeration date
06/15/2022
Last updated
06/16/2022
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