Thomas Hathorn
NPI #1093118176 in Lakeside, California
Provider Information
- NPI Number
- 1093118176
- Entity Type
- Individual
- Name
- Thomas Hathorn
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Oct 2, 2014
- Last Updated
- Oct 2, 2014
Practice Location
- Address
- 24352 FEATHERSTONE CANYON RD.
- City
- Lakeside
- State
- California
- ZIP Code
- 92040
- Phone
- (619) 797-7319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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