MAIJA THACKERSON

LONG BEACH, CA
NPI1346502218
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT 16398)
Enumeration Date2012-06-15
Last Update Date2012-06-15
Business Address
-- MAIJA THACKERSON L.P.T.
4151 E FOUNTAIN ST
LONG BEACH, CA 90804-3023
Phone number: 562-719-9250
Mailing Address
-- MAIJA THACKERSON L.P.T.
4151 E FOUNTAIN ST
LONG BEACH, CA 90804-3023
Phone number:
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