Mai Ong Thao

NPI #1003787540 in Represa, California

Provider Information

NPI Number: 1003787540
Entity Type: Individual
Name: Mai Ong Thao
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 17, 2025
Last Updated: Sep 23, 2025

Practice Location

Address: 300 PRISON RD
City: Represa
State: California
ZIP Code: 95671-3001
Phone: (916) 833-2415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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