| NPI | 1144687328 |
|---|---|
| Other Name | MARCUS THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: TX 29281624) |
| Additional Taxonomies | 172A00000X Driver (Licence: TX 02244466) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |