Individual
ALLISON MICHELLE THATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2941 N DANTE AVE, FRESNO, CA 93722-0407
(559) 312-5895
Mailing address
2941 N DANTE AVE, FRESNO, CA 93722-0407
(559) 312-5895
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN287154
CA
Other
Enumeration date
03/04/2015
Last updated
09/20/2021
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