Individual
CASEY JEAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8237 ROCHESTER AVE, SUITE 110, RANCHO CUCAMONGA, CA 91730-0716
(909) 477-3310
Mailing address
8237 ROCHESTER AVE, SUITE 110, RANCHO CUCAMONGA, CA 91730-0716
(909) 477-3310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
53744
CA
Other
Enumeration date
05/25/2016
Last updated
09/16/2016
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