Most Relevant Information
Provider Data
NPI Number: | 1003447772 |
Provider Name: | TAMAIAH THOMPSON |
Entity Type: | Individual |
Taxonomy Code: | 104100000X |
Specialty: | Social Worker |
License Number: |
Most Important Dates
Enumeration Date: | 01/30/2020 |
Last Updated: | 03/01/2022 |
Provider Practice Location
555 E HARDY ST
INGLEWOOD
CA
903014011
Practice Location Phone/Fax
Phone: | 3106954844 |
Fax: |
Provider Mailing Location
2110 ARTESIA BLVD # B121
REDONDO BEACH
CA
902783073
Provider Mailing Phone/Fax
Phone: | |
Fax: |