Most Relevant Information
Provider Data
| NPI Number: | 1003339870 |
| Provider Name: | ELASHA THOMPSON |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 325412 |
Most Important Dates
| Enumeration Date: | 07/24/2017 |
| Last Updated: | 07/24/2017 |
Provider Practice Location
390 PINE RIDGE RD
CHEEKTOWAGA
NY
142253931
Practice Location Phone/Fax
| Phone: | 7169014189 |
| Fax: | 7169014189 |
Provider Mailing Location
370 PINE RIDGE RD
CHEEKTOWAGA
NY
142253933
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |