Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eloise Catherine Thacker, C70773

Individual provider Durable Medical Equipment & Medical Supplies · NPI 1730914458

Eloise Catherine Thacker, C70773 is a Durable Medical Equipment & Medical Supplies in San Bernardino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
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Practice location Address checks out

355 E 21st St
San Bernardino, CA 92404-4824
Phone: (909) 882-0193
Fax: (909) 883-4834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence C70773 (CA)

Record details

NPI number1730914458
Entity typeIndividual (Type 1)
GenderFemale
Credentials C70773
Sole proprietorYes
NPI enumeratedSeptember 3, 2024
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

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