Individual
MS. MYRA THOMPSON-BULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
710 ENGLAND PL, ALPINE, CA 91901-1401
(619) 445-3167
(619) 445-3167
Mailing address
710 ENGLAND PL, ALPINE, CA 91901-1401
(619) 445-3167
(619) 445-3167
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
AC5597
CA
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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