ELOISE CATHERINE THACKER

SAN BERNARDINO, CA
NPI1730914458
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: CA  C70773)
Enumeration Date2024-09-03
Last Update Date2024-09-03
Business Address
ELOISE CATHERINE THACKER C70773
355 E 21ST ST
SAN BERNARDINO, CA 92404-4824
Phone number: 909-882-0193
Mailing Address
ELOISE CATHERINE THACKER C70773
355 E 21ST ST STE J
SAN BERNARDINO, CA 92404-4851
Phone number: 909-882-0193