THOMAS JACKSON WHITE

SAN LUIS OBISPO, CA
NPI1932968609
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-03-15
Last Update Date2024-03-15
Business Address
THOMAS JACKSON WHITE
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-903-1905
Mailing Address
THOMAS JACKSON WHITE
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number:
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