GARY THERAGOOD

Case Manager/Care Coordinator

Active Individual
NPI: 1104067743

Practice Address

15095 AMARGOSA RD STE 208
Victorville, CA 92394

Phone: (760) 245-4695

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1104067743 is the National Provider Identifier for GARY THERAGOOD, a Case Manager/Care Coordinator provider located in Victorville, CA. This NPI was enumerated on March 11, 2009.
GARY THERAGOOD practices at 15095 AMARGOSA RD STE 208, Victorville, CA 92394.

Quick Facts

NPI
1104067743
Type
Individual
Enumerated
Mar 11, 2009
Last Updated
Sep 18, 2018

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