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1164888780
THADDEUS RICE
GLENDALE, CA
NPI
1164888780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95003569)
Enumeration Date
2016-01-12
Last Update Date
2016-01-12
Business Address
Mr. THADDEUS RICE FNP-C
801 S CHEVY CHASE DR SUITE 103
GLENDALE, CA 91205-4431
Phone number: 818-850-5667
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Mailing Address
Mr. THADDEUS RICE FNP-C
10280 KURT ST
SYLMAR, CA 91342
Phone number:
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