Diane Leslie Thompson P.A.

NPI 1114156171 - Physician Assistant - 363A00000X

NPI Details
NPI 1114156171
Gender Female
Enumeration Date 07/10/2009
Last Updated 10/10/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
12550 HESPERIA ROAD
SUITE 100
VICTORVILLE CA, 92395-0000, US
Phone (760) 241-6666
Fax (760) 241-7575
Business Location
17095 MAIN ST
HESPERIA CA, 92345-0000, US
Phone (760) 241-6666
Fax (760) 241-7575
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA19605
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According to our database, Diane Leslie Thompson P.A. NPI is 1114156171, taxonomy code is 363A00000X and license number is PA19605, license state is located at California. Diane Leslie Thompson P.A. physically located at 12550 Hesperia Road, Victorville CA, 92395-0000. NPI Number Diane Leslie Thompson P.A. has the Individual type.

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1114156171 NPI number is provided on an as is basis without warranty of any kind. 1114156171 is maintained by the National Plan & Provider Enumeration System. The contents of Diane Leslie Thompson P.A. are for informational purposes only.