Tawana Thacker

NPI #1356886279 in Mc Arthur, Ohio

Provider Information

NPI Number: 1356886279
Entity Type: Individual
Name: Tawana Thacker
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Jan 2, 2017
Last Updated: Jan 2, 2017

Practice Location

Address: 31495 GARRETT RIDGE RD
City: Mc Arthur
State: Ohio
ZIP Code: 45651-8887
Phone: (740) 590-3139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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