Treva Thompson

NPI #1922468917 in Lake Park, Florida

Provider Information

NPI Number: 1922468917
Entity Type: Individual
Name: Treva Thompson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Mar 3, 2016
Last Updated: Mar 3, 2016

Practice Location

Address: 712 W. JASMINE DR.
City: Lake Park
State: Florida
ZIP Code: 33403
Phone: (561) 951-1770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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