Individual
RENEE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
490 BLUE HILLS AVENUE, HARTFORD, CT 06112
(860) 714-2149
(806) 714-8933
Mailing address
7210 LOMA LINDA DR NE, ROCKFORD, MI 49341-9455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
12/15/2021
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