Individual
PENELOPE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 W ELM ST, PHOENIX, AZ 85015-3865
(775) 223-1287
Mailing address
1728 W ELM ST, PHOENIX, AZ 85015-3865
(775) 223-1287
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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