Individual
TRISTEN QUIERA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, MS
Contact information
Practice address
2395 WALL ST SE STE 280, CONYERS, GA 30013-6703
(770) 679-1553
Mailing address
6302 PROSE CIR, COVINGTON, GA 30016-1415
(504) 339-0480
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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