Individual
THANAY PAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3820 SUPERIOR AVE E STE 214, CLEVELAND, OH 44114-4128
(216) 361-1223
(216) 361-1568
Mailing address
3820 SUPERIOR AVE E STE 214, CLEVELAND, OH 44114-4128
(216) 361-1223
(216) 361-1568
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
34-1798850
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109544
—
OH
Enumeration date
05/20/2016
Last updated
05/20/2016
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