Individual
RAE ANNE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
1400 EMELINE AVE, BLDG. K, SANTA CRUZ, CA 95060-1976
(831) 454-4170
(831) 454-4663
Mailing address
1400 EMELINE AVE, BLDG. K, SANTA CRUZ, CA 95060-1976
(831) 454-4170
(831) 454-4663
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
3351-02
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3351-02
MEDICAL ASSISTANT CERT#
CA
Enumeration date
06/22/2007
Last updated
07/08/2007
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