Individual
RAYCHELL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1404 SE WALTON LAKES DR # 1404, PORT ST LUCIE, FL 34952-5105
(772) 262-3530
Mailing address
1404 SE WALTON LAKES DR # 1404, PORT ST LUCIE, FL 34952-5105
(772) 262-3530
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
372400
FL
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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