Individual
ANGEL PA THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
113 BIRCH RIDGE CIR, SAN JOSE, CA 95123-2651
(530) 282-3648
Mailing address
113 BIRCH RIDGE CIR, SAN JOSE, CA 95123-2651
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN742188
CA
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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