Individual
ALBERT THOMPSON
Active
Individual
ALBERT THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LVN179998
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512013461
—
CA
Enumeration date
11/22/2006
Last updated
07/08/2007
Update your record
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