Individual
AVERIL THIBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 MILL ROAD, FRANKLIN, WV 26807
(304) 358-2421
(304) 358-2422
Mailing address
PO BOX 9, FRANKLIN, WV 26807-0009
(304) 358-2421
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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