Most Relevant Information
Provider Data
| NPI Number: | 1003691924 |
| Provider Name: | BLANCA GUADALUPE THOMPSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/29/2023 |
| Last Updated: | 08/29/2023 |
Provider Practice Location
5698 W GLEN EAGLE DR
WEST VALLEY CITY
UT
841284013
Practice Location Phone/Fax
| Phone: | 8019175457 |
| Fax: |
Provider Mailing Location
5698 W GLEN EAGLE DR
WEST VALLEY CITY
UT
841284013
Provider Mailing Phone/Fax
| Phone: | 8019175457 |
| Fax: |