Individual
DR. IMAIM NENG THAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., L.AC.
Contact information
Practice address
1444 147TH AVE NE, HAM LAKE, MN 55304-4971
(763) 208-6340
Mailing address
15206 HASTINGS ST NE, HAM LAKE, MN 55304-6232
(763) 208-6340
(763) 208-6340
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1324
MN
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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