Doctor Name: | ANGELINE MARIE THOMSON |
NPI Number: | 1043578057 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, IMF |
License Number: | |
Business Practice Address: | 7907 Ostrow St Ste F San Diego, CA - 921113635 |
Business Phone Number: | 8583008282 |
Business Fax Number: | |
Mailing Address: | Po Box 84222, SAN DIEGO |
State: | CA |
Postal Code: | 921384222 |
Phone Number: | 7602139233 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2012 |
NPI Last Update Date: | 09/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |