Individual
ALICIA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
24215 DYBEDAL RD, MASON, WI 54856-3027
(715) 413-2063
Mailing address
24215 DYBEDAL RD, MASON, WI 54856-3027
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
208-49
WI
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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