Individual
JESSICA THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11639 LONDON RD, ORIENT, OH 43146-9140
(614) 370-3670
Mailing address
11639 LONDON RD, ORIENT, OH 43146-9140
(614) 370-3670
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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