SearchCalifornia1041C0700X

Fanshen Thompson

NPI 1275737793 · on the registry since 2007 · sole proprietor

Practice

Address
1379 Cedar St
Berkeley, CA 94702
Phone
(510) 883-3174

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California