Individual
MRS. JENNY LOU THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
H.I.S
Contact information
Practice address
52 W 3RD ST, WINONA, MN 55987-3431
(507) 457-9830
(507) 457-9834
Mailing address
45 HICKORY LN, WINONA, MN 55987-6116
(507) 410-2154
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
2620
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
411947144
FEDERAL TAX ID
MN
Enumeration date
01/31/2013
Last updated
01/31/2013
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