Individual
BRANDON TYLER THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163W00000X
Registered Nurse
Primary
RN95307372
CA
376K00000X
Nurse's Aide
60729253
WA
Other
Enumeration date
06/22/2017
Last updated
01/11/2023
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