Individual
ROSA L THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1907 E VANOWEN AVE APT B, ORANGE, CA 92867-3958
(951) 288-2867
Mailing address
PO BOX 544, TUSTIN, CA 92781-0544
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26995
CA
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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