Individual
MISS BRITTANY MICHELLE THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT0000008114
TN
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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