Individual
MRS. PAMELA S. THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R,N., BSN, PHN, LCCE
Contact information
Practice address
11484 B AVE, AUBURN, CA 95603-2603
(530) 886-3462
(530) 889-7198
Mailing address
11484 B AVE, AUBURN, CA 95603-2603
(530) 886-3462
(530) 889-7198
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
213977
CA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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