Patricia Yvonne Thompson | San Diego, CA • PECOS Search

Patricia Yvonne Thompson

Specialist

Other Service Providers

3020 Childrens Way, Mc 5111, San Diego, CA 92123-4223

PECOS Enrollment

Based on the most recent information from CMS, provider Patricia Yvonne 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
1144549189
Provider Type
Individual
Full Name
Thompson, Patricia Yvonne
Title
Mrs.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/28/2010
Last Updated
5/28/2010

Contact Information

Practice Location

3020 Childrens Way, Mc 5111, San Diego, CA 92123-4223

(858) 966-8480

Mailing Location

3020 Childrens Way, Mc 5111, San Diego, CA 92123-4223

Unlisted Fax

Provider Taxonomies

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