Pheng Thao

NPI #1710445242 in Sheboygan, Wisconsin

Provider Information

NPI Number
1710445242
Entity Type
Individual
Name
Pheng Thao
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Home Health
Enumeration Date
Mar 4, 2019
Last Updated
Mar 4, 2019

Practice Location

Address
1227 N 9TH ST
ZIP Code
53081-3407
Phone
(920) 395-2025

Specialties & Taxonomy Codes

Specialty
Home Health

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