Individual
PATRICIA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 DAVIDSON ST SE, PALM BAY, FL 32909-6687
(321) 725-8309
Mailing address
703 DAVIDSON ST SE, PALM BAY, FL 32909-6687
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 1002931
FL
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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