Provider Demographics
NPI:1184482861
Name:THOMPSON-GAMBLE, CIERA K
Entity type:Individual
Prefix:MS
First Name:CIERA
Middle Name:K
Last Name:THOMPSON-GAMBLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1795 MALASIA RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-3674
Mailing Address - Country:US
Mailing Address - Phone:330-396-1126
Mailing Address - Fax:
Practice Address - Street 1:1795 MALASIA RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-3674
Practice Address - Country:US
Practice Address - Phone:330-396-1126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty