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Individual

THY THY KIM TRAT THAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
7122 W CROSS CREEK TRL, BRECKSVILLE, OH 44141-3141
(402) 599-3886

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/22/2026
Last updated
04/22/2026
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