Individual
CHARLENE MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3443 E CALISTOGA DR, GILBERT, AZ 85297-8024
(480) 279-7215
Mailing address
3443 E CALISTOGA DR, GILBERT, AZ 85297-8024
(480) 279-7215
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38281400
—
WI
Enumeration date
01/11/2008
Last updated
01/11/2008
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