NICHEALLE MYLENDA THIES

CLEARLAKE, CA
NPI1417712167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2024-02-20
Last Update Date2024-02-20
Business Address
NICHEALLE MYLENDA THIES
7000B S CENTER DR
CLEARLAKE, CA 95422-8131
Phone number: 707-994-7090
Mailing Address
NICHEALLE MYLENDA THIES
7000B S CENTER DR
CLEARLAKE, CA 95422-8131
Phone number: 707-994-7090