Individual
MS. SHIRLEY L THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
1111 24TH ST STE 204, SACRAMENTO, CA 95816-5019
(916) 448-2161
(916) 448-2182
Mailing address
1111 24TH ST STE 204, SACRAMENTO, CA 95816-5019
(916) 448-2161
(916) 448-2182
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP12
CA
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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