Individual
NOVA CHRISTEEN TOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 E BEARDSLEY AVE, ELKHART, IN 46514-3574
(574) 206-0086
(574) 970-0604
Mailing address
1201 E BEARDSLEY AVE, ELKHART, IN 46514-3574
(574) 206-0086
(574) 970-0604
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27039054A
IN
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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