Jillian Leigh Thompson | San Diego, CA • PECOS Search

Jillian Leigh Thompson

Specialist

Other Service Providers

9400 Ruffin Ct, San Diego, CA 92123-5300

PECOS Enrollment

Based on the most recent information from CMS, provider Jillian Leigh Thompson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1114109493
Provider Type
Individual
Full Name
Thompson, Jillian Leigh
Title
Miss

Gender
Female
Sole Proprietor
No
Enumeration Date
11/29/2007
Last Updated
11/29/2007

Contact Information

Practice Location

9400 Ruffin Ct, San Diego, CA 92123-5300

(858) 514-4656

Mailing Location

9400 Ruffin Ct, San Diego, CA 92123-5300

(858) 514-4656

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer