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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY THERAGOOD

Active Sole Proprietor

GARY THERAGOOD is a Case Manager healthcare provider located in VICTORVILLE, California. NPI 1104067743 is currently active in the NPPES registry. Verify at CMS.

Case Manager · VICTORVILLE, CA

Registration Details

NPI Number
1104067743
Provider Type
Individual
Gender
Male
NPI Issued
Mar 11, 2009 (17.282482981474 yrs)
Last Updated
Sep 18, 2018
Sole Proprietor
Yes

Practice Information

Address
15095 AMARGOSA RD STE 208
VICTORVILLE, CA, 923941879
Browse CA providers · Browse ZIP 92394
Phone
7602454695
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in VICTORVILLE, CA

Name Credential NPI
EDWARD DOWNER 1871639609
RUTH HARRISON 1861533960
MS. DIANA BAKER 1235263856
MR. KENROY SHUNG 1952513590
TINA FAVRE 1467657650
MS. BARBARA DENISE COX 1831377035
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.