James Michael Thacker
NPI #1063014520 in Glenwood, West Virginia
Provider Information
- NPI Number
- 1063014520
- Entity Type
- Individual
- Name
- James Michael Thacker
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Nov 10, 2020
- Last Updated
- Nov 10, 2020
Practice Location
- Address
- 11601 WHITTEN RIDGE RD
- City
- Glenwood
- State
- West Virginia
- ZIP Code
- 25520-9352
- Phone
- (304) 576-2827
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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