Evelyn Lavern Thompson
NPI #1104003763 in Moreno Valley, California
Provider Information
- NPI Number
- 1104003763
- Entity Type
- Organization
- Organization Name
- Evelyn Lavern Thompson
- Primary Specialty
- Skilled Nursing Facility - Nursing Care, Pediatric
- Enumeration Date
- Jan 25, 2008
- Last Updated
- Jan 25, 2008
Practice Location
- Address
- 12279 LASSELLE ST
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92557-7705
- Phone
- (951) 485-6847
Authorized Official
- Name
- EVELYN LAVERN THOMPSON
- Title
- L.V.N
- Phone
- (951) 485-6847
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility - Nursing Care, Pediatric — Nursing Care, Pediatric |
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