Individual
JAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5 KENWOOD DR, HAZELWOOD, MO 63042-2703
(314) 731-1807
Mailing address
5 KENWOOD DR, HAZELWOOD, MO 63042-2703
(314) 731-1807
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
080958
MO
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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