Maikou Thao
NPI #1891112074 in Evansville, Wyoming
Provider Information
- NPI Number
- 1891112074
- Entity Type
- Individual
- Name
- Maikou Thao
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Mar 25, 2014
- Last Updated
- Mar 25, 2014
Practice Location
- Address
- 763 RESHAW CIR
- City
- Evansville
- State
- Wyoming
- ZIP Code
- 82636-9410
- Phone
- (651) 485-3089
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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