Individual
LARRY S THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS CHW
Contact information
Practice address
5832 PETRIFIED TREE LN, NORTH LAS VEGAS, NV 89081-6864
(850) 255-1612
Mailing address
5832 PETRIFIED TREE LN, NORTH LAS VEGAS, NV 89081-6864
(850) 255-1612
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NV
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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