Sandra Thompson

NPI #1013345131 in Las Vegas, Nevada

Provider Information

NPI Number
1013345131
Entity Type
Organization
Organization Name
Sandra Thompson
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Oct 29, 2013
Last Updated
Oct 29, 2013

Practice Location

Address
7268 GOLDEN STAR AVE
State
Nevada
ZIP Code
89130-1194
Phone
(702) 401-6498

Authorized Official

Name
DR. SANDRA F THOMPSON
Title
PRESIDENT
Phone
(702) 401-6498

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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