Individual
WENDY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2939 MECHANICSBURG RD, SPRINGFIELD, OH 45503-1822
(937) 605-9598
Mailing address
2939 MECHANICSBURG RD, SPRINGFIELD, OH 45503-1822
(937) 605-9598
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
400199390103
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2936407
—
OH
Enumeration date
10/21/2013
Last updated
10/21/2013
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