Individual
MRS. BROOKE THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
901 28TH ST S STE C, FARGO, ND 58103-8745
(701) 404-1100
Mailing address
901 28TH ST S STE C, FARGO, ND 58103-8745
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L14922
ND
Other
Enumeration date
09/21/2020
Last updated
10/06/2020
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