Individual
TISHA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 W BROADWAY ST, HOBBS, NM 88240-5529
(575) 393-3168
(575) 397-4659
Mailing address
920 W BROADWAY ST, HOBBS, NM 88240-5529
(575) 393-3168
(575) 397-4659
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R38197
NM
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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