PA Nyia Thao

NPI #1063975191 in Monona, Wisconsin

Provider Information

NPI Number
1063975191
Entity Type
Individual
Name
PA Nyia Thao
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Apr 6, 2019
Last Updated
Apr 6, 2019

Practice Location

Address
123 SHATO LN
City
Monona
ZIP Code
53716-3795
Phone
(715) 451-2084

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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