Individual
ANNIE THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(626) 537-5445
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
37242
CA
Other
Enumeration date
08/05/2017
Last updated
03/17/2018
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