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Jelica Thompson

NPI 1841950540 · on the registry since 2021 · sole proprietor

Practice

Address
500 Union Ave Apt 1303
Bronx, NY 10455
Phone
(646) 919-0295

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-21

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 New York