Sophia Thao

NPI #1356005573 in Woodbury, Minnesota

Provider Information

NPI Number: 1356005573
Entity Type: Individual
Name: Sophia Thao
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Oct 25, 2021
Last Updated: Oct 25, 2021

Practice Location

Address: 731 BIELENBERG DR STE 102-104
City: Woodbury
State: Minnesota
ZIP Code: 55125-1700
Phone: (612) 800-8344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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