Individual
BRIAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
114 MADISON ST, MOUNT LOOKOUT, WV 26678-9246
(304) 619-6456
Mailing address
PO BOX 152, MOUNT LOOKOUT, WV 26678-0152
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/05/2025
Last updated
07/05/2025
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