Individual
CORTEZ THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
869 E VIRGINIA BEACH BLVD, NORFOLK, VA 23504-3223
(757) 450-7557
Mailing address
869 E VIRGINIA BEACH BLVD, NORFOLK, VA 23504-3223
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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