DR. Imaim Neng Thao, PH.D., L.AC.

NPI #1760787550 in Ham Lake, Minnesota

Provider Information

NPI Number: 1760787550
Entity Type: Individual
Name: DR. Imaim Neng Thao, PH.D., L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: PH.D., L.AC.
Enumeration Date: Jan 25, 2011
Last Updated: Jan 25, 2011

Practice Location

Address: 1444 147TH AVE NE
City: Ham Lake
State: Minnesota
ZIP Code: 55304-4971
Phone: (763) 208-6340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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