Individual
SY THAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1213 HENRIETTA ST, WAUSAU, WI 54403-6345
(715) 393-7086
Mailing address
1213 HENRIETTA ST, WAUSAU, WI 54403-6345
(715) 393-7086
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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