Individual
MICHELLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 KANAWHA AVE, DUNBAR, WV 25064-3108
(304) 541-0095
Mailing address
1112 KANAWHA AVE, DUNBAR, WV 25064-3108
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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