Individual
MARCIA S THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5170 12TH AVE, MALONE, FL 32445-3426
(850) 569-1197
(850) 569-5556
Mailing address
5170 12TH AVE, MALONE, FL 32445-3426
(850) 569-1197
(850) 569-5556
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
3076242
FL
Other
Enumeration date
02/17/2007
Last updated
07/09/2007
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