Individual
GWYNNETH VICTORIA FAITH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2930 146TH ST W, ROSEMOUNT, MN 55068-3189
(952) 443-4600
Mailing address
2930 146TH ST W, ROSEMOUNT, MN 55068-3189
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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