THADDEUS RICE

GLENDALE, CA
NPI1164888780
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95003569)
Enumeration Date2016-01-12
Last Update Date2016-01-12
Business Address
Mr. THADDEUS RICE FNP-C
801 S CHEVY CHASE DR SUITE 103
GLENDALE, CA 91205-4431
Phone number: 818-850-5667
Mailing Address
Mr. THADDEUS RICE FNP-C
10280 KURT ST
SYLMAR, CA 91342
Phone number: