Thackerson, Maija

Thackerson, Maija is an sole proprietor health care provider with primary practice located at 4151 E Fountain St , Long Beach CA 90804-3023. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Thackerson, Maija can be contacted via phone (562) 719-9250.

Contact Information

Primary practice address
4151 E Fountain St Long Beach CA 90804-3023
Phone: (562) 719-9250
Fax: (562) 719-9261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT 16398 California

Profile Details

NPI number 1346502218
LBN Legal business name Thackerson, Maija
Credentials L.P.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2012
Last updated Jun 15th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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