MAIJA THACKERSON, L.P.T.

Licensed Psychiatric Technician

Active Individual
NPI: 1346502218

Practice Address

4151 E FOUNTAIN ST
Long Beach, CA 90804

Phone: (562) 719-9250

Specialties

Specialty Code Primary License
Licensed Psychiatric Technician 167G00000X Yes PT 16398 (CA)

Frequently Asked Questions

NPI 1346502218 is the National Provider Identifier for MAIJA THACKERSON, L.P.T., a Licensed Psychiatric Technician provider located in Long Beach, CA. This NPI was enumerated on June 15, 2012.
MAIJA THACKERSON, L.P.T. practices at 4151 E FOUNTAIN ST, Long Beach, CA 90804.

Quick Facts

NPI
1346502218
Type
Individual
Enumerated
Jun 15, 2012
Last Updated
Jun 15, 2012

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