Individual
AUTUMN M THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
101 BODIN CIR BLDG 777, TRAVIS AFB, CA 94535-1809
(707) 423-3667
Mailing address
101 BODIN CIR BLDG 777, TRAVIS AFB, CA 94535-1809
(707) 423-3667
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004270
NC
Other
Enumeration date
02/18/2014
Last updated
06/07/2023
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