HOLLY GWEN THOMPSON

WINFIELD, WV
NPI1023191574
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110-002246)
Additional Taxonomies363A00000X Physician Assistant
(Licence: WV  1062)
Enumeration Date2006-10-20
Last Update Date2008-11-13
Business Address
Ms. HOLLY GWEN THOMPSON PAC
26 ELM STREET
WINFIELD, WV 25213
Phone number: 304-586-6362
Mailing Address
Ms. HOLLY GWEN THOMPSON PAC
4750 HEMPSTEAD STATION DR
KETTERING, OH 45429-5164
Phone number: 800-875-0136