Most Relevant Information
Provider Data
| NPI Number: | 1003215088 |
| Provider Name: | GLORIA PATRICIA THOMSON RN, BSN, PHN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 572884 |
Most Important Dates
| Enumeration Date: | 08/15/2014 |
| Last Updated: | 08/15/2014 |
Provider Practice Location
5469 KEARNY VILLA RD STE 2000
SAN DIEGO
CA
921231144
Practice Location Phone/Fax
| Phone: | 8586363573 |
| Fax: | 8584679045 |
Provider Mailing Location
5469 KEARNY VILLA RD STE 2000
SAN DIEGO
CA
921231144
Provider Mailing Phone/Fax
| Phone: | 8586363573 |
| Fax: | 8584679045 |