Dewey Thacker

NPI #1043807084 in Mc Arthur, Ohio

Provider Information

NPI Number: 1043807084
Entity Type: Individual
Name: Dewey Thacker
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Dec 23, 2020
Last Updated: Dec 23, 2020

Practice Location

Address: 60615 BOLAR RD
City: Mc Arthur
State: Ohio
ZIP Code: 45651-8640
Phone: (740) 541-0912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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