Individual
BRITTANEE NICOLE THREADGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22445 ALESSANDRO BLVD # 113-114, MORENO VALLEY, CA 92553-8358
(951) 924-9791
Mailing address
12009 CALLE SOMBRA APT 12, MORENO VALLEY, CA 92557-7028
(951) 385-3453
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
—
Other
Enumeration date
08/12/2013
Last updated
01/25/2022
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