Individual
MRS. JACQUELYN MARIE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8200 LAGUNA BLVD, ELK GROVE, CA 95758-7956
(916) 544-5400
Mailing address
9683 KENT ST, ELK GROVE, CA 95624-2432
(916) 647-7063
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
800232
CA
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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