Most Relevant Information
Provider Data
| NPI Number: | 1003504853 |
| Provider Name: | ALICIA MAE THOMPSON |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | P010384 |
Most Important Dates
| Enumeration Date: | 04/28/2023 |
| Last Updated: | 04/28/2023 |
Provider Practice Location
111 NORTH ST
RAPID CITY
SD
577011163
Practice Location Phone/Fax
| Phone: | 6053430650 |
| Fax: | 6053423692 |
Provider Mailing Location
350 ELK STREET
RAPID CITY
SD
577017351
Provider Mailing Phone/Fax
| Phone: | 6053430650 |
| Fax: | 6053423692 |