Individual
MS. CAMELOT THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
930 COLE ST, SAN FRANCISCO, CA 94117-4316
(415) 964-4789
(415) 964-4789
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95002539
CA
Other
Enumeration date
06/11/2015
Last updated
09/29/2016
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