Individual
THIA JANAI HOFFMAN
Active
Individual
THIA JANAI HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED OPHTH TECH
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
1234
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
N/A
CO
Enumeration date
12/29/2020
Last updated
12/29/2020
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