Individual
JENNIFER THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 768-9833
Mailing address
290 IOOF AVE, GILROY, CA 95020-5204
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
703627
CA
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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