Individual
CINDY THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3219 LAWRENCE RD, BROOKLYN CENTER, MN 55429-2635
(612) 272-6042
Mailing address
2365 MCKNIGHT RD N, NORTH SAINT PAUL, MN 55109-2238
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
913750414
MEDICA
MN
Enumeration date
03/02/2023
Last updated
03/06/2023
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