Individual
KIM THIEN DAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1513 N YELLOWOOD AVE, BROKEN ARROW, OK 74012-9173
(918) 986-2126
Mailing address
1513 N YELLOWOOD AVE, BROKEN ARROW, OK 74012-9173
(918) 986-2126
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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