Individual
THAI VUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7800 CLAYPOOL WAY, CITRUS HEIGHTS, CA 95610-2707
(707) 567-7318
Mailing address
2452 STANSBERRY WAY, SACRAMENTO, CA 95826-2121
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
342701005
CA
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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