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Search › California › 225400000X

Stacy Thacker

NPI 1497593826 · on the registry since 2024

Practice

Address
3625 14th St
Riverside, CA 92501
Phone
(951) 955-1540
Organisation at this address
Public Guardian
Riverside County
County Of Riverside
County Of Riverside
Inferred from a shared address, not stated in the registry.
Clinicians at this address
119

Registry record

Primary taxonomy
225400000X
225400000X
Also registered as
171M00000X
Sex
Male
Record last updated
2025-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California