STACY THACKER

RIVERSIDE, CA
NPI1497593826
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2024-07-18
Last Update Date2025-03-31
Business Address
STACY THACKER
3625 14TH ST
RIVERSIDE, CA 92501-3815
Phone number: 951-955-1540
Mailing Address
STACY THACKER
3625 14TH ST
RIVERSIDE, CA 92501-3815
Phone number: 951-955-1540
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