FREDDIE TACKETT

SAN DIEGO, CA
NPI1487076675
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174H00000X Health Educator
Enumeration Date2014-01-08
Last Update Date2014-01-08
Business Address
-- FREDDIE TACKETT
34800 BOB WILSON DR BLD 26
SAN DIEGO, CA 92134-1098
Phone number: 619-532-5792
Mailing Address
-- FREDDIE TACKETT
1206 VIA ANGELICA
VISTA, CA 92081-6362
Phone number: 619-347-1721