Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. TAMARA DEE THACKER, IDC
Active Sole ProprietorMS. TAMARA DEE THACKER, IDC is a Independent Duty Corpsman healthcare provider located in IMPERIAL BEACH, California. NPI 1528365095 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · IMPERIAL BEACH, CA
Registration Details
- NPI Number
- 1528365095
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 18, 2011 (15.531641221611 yrs)
- Last Updated
- Feb 18, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
1128 EMORY STIMPERIAL BEACH, CA, 919323324Browse CA providers · Browse ZIP 91932
- Phone
- 6199485154
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in IMPERIAL BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| MR. BENEDICT JOVELLANO JACOB | — | 1841594942 |
| RAYMOND MENDOZA | — | 1952128639 |
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.