Individual
ASHLEY RANDAL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4169 SMITH CREEK RD, SOUTH CHARLESTON, WV 25309-8562
(304) 410-3983
Mailing address
4169 SMITH CREEK RD, SOUTH CHARLESTON, WV 25309-8562
(304) 410-3983
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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