MAIJA THACKERSON, L.P.T.
Nursing at Fountain St, Long Beach, CA

License number
California PT 16398
Category
Nursing
Type
Licensed Psychiatric Technician
Address
Address
4151 E Fountain St, Long Beach, CA 90804
Phone
(562) 719-9250
(562) 719-9261 (Fax)
National Provider ID: 1346502218
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Maija T Thackerson, age 77
6335 Comstock Ave, Whittier, CA 90601

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