Individual
BRIANNA ANIYA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 PIERCE AVE, MIDLAND PARK, NJ 07432-1825
(646) 342-4003
Mailing address
14 PIERCE AVE, MIDLAND PARK, NJ 07432-1825
(646) 342-4003
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
352063
NY
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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