Individual
MS. COURTENEY ANTOINE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W 9TH ST, CHESTER, PA 19013-2001
(610) 842-1749
Mailing address
2400 W 9TH ST, CHESTER, PA 19013-2001
(610) 842-1749
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN274234
PA
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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