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Individual

TAMIKA D THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
311 DRY BROOK RD, WENTZVILLE, MO 63385-4102
(314) 285-9356
(636) 685-0232
Mailing address
311 DRY BROOK RD, WENTZVILLE, MO 63385-4102
(314) 285-9356
(636) 685-0232

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
MO

Other

Enumeration date
07/09/2020
Last updated
07/09/2020
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