Individual
ALEX J THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4464 W PROVIDENCE AVE, FRESNO, CA 93722-8004
(910) 853-1448
Mailing address
4464 W PROVIDENCE AVE, FRESNO, CA 93722-8004
(910) 853-1448
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
89791
CA
332100000X
Department of Veterans Affairs (VA) Pharmacy
—
CA
Other
Enumeration date
03/11/2022
Last updated
10/28/2022
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