Individual
MAI NHIA THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
268 N LOCAN AVE, FRESNO, CA 93737-9748
(559) 289-4041
Mailing address
268 N LOCAN AVE, FRESNO, CA 93737-9748
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
803343
CA
163WC1500X
Community Health Registered Nurse
81598
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95009657
CA
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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