ELOISE THACKER, C70773

Durable Medical Equipment & Medical Supplies

Active Individual
NPI: 1730914458

Practice Address

355 E 21ST ST
San Bernardino, CA 92404

Phone: (909) 882-0193

Specialties

Specialty Code Primary License
Durable Medical Equipment & Medical Supplies 332B00000X Yes C70773 (CA)

Frequently Asked Questions

NPI 1730914458 is the National Provider Identifier for ELOISE THACKER, C70773, a Durable Medical Equipment & Medical Supplies provider located in San Bernardino, CA. This NPI was enumerated on September 3, 2024.
ELOISE THACKER, C70773 practices at 355 E 21ST ST, San Bernardino, CA 92404.

Quick Facts

NPI
1730914458
Type
Individual
Enumerated
Sep 3, 2024
Last Updated
Sep 3, 2024

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