Individual
ALVA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2475 MCCLELLAN AVE, PENNSAUKEN, NJ 08109-4683
(856) 675-3355
Mailing address
42 W 5TH ST, BURLINGTON, NJ 08016-3243
(609) 456-2561
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
26NR04925700
NJ
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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