Individual
MALAYSIA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
362 E 148TH ST, BRONX, NY 10455-4005
(718) 292-4640
Mailing address
362 E 148TH ST, BRONX, NY 10455-4005
(718) 292-4640
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344708
NY
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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