Casey Jean Thompson
Physician Assistant in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1528416005
StatusActive
Last updated in NPPESSep 16, 2016
Details
- NPI
- 1528416005
- Entity type
- Individual (NPI-1)
- Name
- Casey Jean Thompson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 25, 2016
- Last updated
- Sep 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 53744 | CA | Yes |
Practice location
8237 Rochester AveSuite 110
Rancho Cucamonga, CA 91730-0716
Phone 909-477-3310
Mailing address
8237 Rochester AveSuite 110
Rancho Cucamonga, CA 91730-0716
Phone 909-477-3310
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All 63 Physician Assistant providers in Rancho Cucamonga · All 5,953 providers in Rancho Cucamonga
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