JERRICK THACKER

VICTORVILLE, CA
NPI1275275307
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95020352)
Enumeration Date2022-04-09
Last Update Date2022-04-25
Business Address
Mr. JERRICK THACKER MSN APRN FNP-C
13024 HESPERIA RD
VICTORVILLE, CA 92395-8302
Phone number: 760-241-3547
Mailing Address
Mr. JERRICK THACKER MSN APRN FNP-C
13024 HESPERIA RD. SUIT 103
VICTORVILLE, CA 92395
Phone number: 760-241-3547
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