Individual
JAMES ERIC THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
2796 KINGS CROSSING DR, BARNHART, MO 63012-1174
(314) 724-8961
Mailing address
2796 KINGS CROSSING DR, BARNHART, MO 63012-1174
(314) 724-8961
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
2008029501
MO
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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