TARA NICHOLE THACKER

LOS ANGELES, CA
NPI1144426750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A99654)
Enumeration Date2007-06-21
Last Update Date2021-12-03
Business Address
Dr. TARA NICHOLE THACKER M.D.
4950 W SUNSET BLVD 4TH FLOOR
LOS ANGELES, CA 90027-5822
Phone number: 800-954-8000
Mailing Address
Dr. TARA NICHOLE THACKER M.D.
124 CARR DR APARTMENT F
GLENDALE, CA 91205-1555
Phone number: 323-547-5036
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