JAMES MICHAEL THACKER

GLENWOOD, WV
NPI1063014520
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2020-11-10
Last Update Date2020-11-10
Business Address
JAMES MICHAEL THACKER
11601 WHITTEN RIDGE RD
GLENWOOD, WV 25520-9352
Phone number: 304-576-2827
Mailing Address
JAMES MICHAEL THACKER
11601 WHITTEN RIDGE RD
GLENWOOD, WV 25520-9352
Phone number: 304-576-2827
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