Individual ProviderSummer Rae ThompsonStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address20 E River Park Pl W, Fresno, CA 93720-1551(209) 247-5199PECOS EnrollmentBased on the most recent information from CMS, provider Summer Rae Thompson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1205676806Provider TypeIndividualFull NameThompson, Summer RaeGenderFemaleSole ProprietorNoEnumeration Date5/30/2024Last Updated6/28/2024Contact InformationPractice LocationPractice Address20 E River Park Pl W, Fresno, CA 93720-1551Phone(209) 247-5199FaxUnlisted FaxMailing LocationMailing Address20 E River Park Pl W, Fresno, CA 93720-1551Phone(209) 247-5199FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer