Individual
ELIZABETH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 E SAINT CHARLES ST, SAN ANDREAS, CA 95249
(209) 498-2246
Mailing address
229 NEW YORK RANCH RD, JACKSON, CA 95642-2147
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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