Individual
XAI THAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
631 H ST, SACRAMENTO, CA 95814-2302
(916) 737-5555
Mailing address
6941 RICHMAN WAY, SACRAMENTO, CA 95828-2204
(916) 717-3135
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/12/2025
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