Individual
MRS. DAVETTA REGINA LEWIS THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
821 S FRED SHUTTLESWORTH CIR, APT. 2, CINCINNATI, OH 45229-2110
(513) 346-9640
Mailing address
821 S FRED SHUTTLESWORTH CIR, APT. 2, CINCINNATI, OH 45229-2110
(513) 346-9640
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN152905-M-IV
OH
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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