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Individual

LATOYA THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 542-2440
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 542-2440

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007966-1
NY
133VN1004X
Pediatric Nutrition Registered Dietitian
007966-1
NY

Other

Enumeration date
07/30/2014
Last updated
07/30/2014
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