Individual
MRS. KELTA DARLENE THATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11942 STERLING ROAD, BETHEL, OH 45106
(937) 444-0855
Mailing address
11942 STERLING ROAD, BETHEL, OH 45106
(937) 444-0855
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2687098
OH
Other
Enumeration date
04/19/2007
Last updated
06/05/2013
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