Individual
MR. MARVIN DUGLAS THIEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
41002 COUNTY CENTER DR, TEMECULA, CA 92591-6027
(951) 600-6360
(951) 600-6365
Mailing address
41002 COUNTY CENTER DR, TEMECULA, CA 92591-6027
(951) 600-6360
(951) 600-6365
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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