JERUSHA THACKER

DAYTONA BEACH, FL
NPI1194107821
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2015-06-18
Last Update Date2015-06-18
Business Address
-- JERUSHA THACKER
259 BILL FRANCE BLVD. STE 200
DAYTONA BEACH, FL 32174
Phone number: 386-868-1992
Mailing Address
-- JERUSHA THACKER
510 S. BEACH STREET APT 1
ORMOND BEACH, FL 32174
Phone number:
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