Individual
MINA THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
1821 UNIVERSITY AVE W STE S306A, SAINT PAUL, MN 55104-2874
(651) 315-4905
Mailing address
1821 UNIVERSITY AVE W STE S306A, SAINT PAUL, MN 55104-2874
(651) 315-4905
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MN
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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