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Jan Thrash-Davidson

Homemaker in Charleston, WV. Individual provider (NPI-1).

NPI number1902654635
StatusActive
Last updated in NPPESMay 8, 2024

Details

NPI
1902654635
Entity type
Individual (NPI-1)
Name
Jan Thrash-Davidson
Sex
Female
Sole proprietor
No
Enumeration date
May 8, 2024
Certification date
May 8, 2024
Last updated
May 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes

Practice location

4510 Pennsylvania Ave Ste C
Charleston, WV 25302-4835

Phone 304-965-9081 · Fax 304-471-2488

Mailing address

4 Mountain Top Cir
South Charleston, WV 25309-9642

Phone 304-415-5131

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