Female

Sophia Thao

Other Technician in Woodbury, MN(View on Map)

Full Name

Sophia Thao

NPI Number

1356005573

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/25/2021

Specialties

(Taxonomies)

Code

247200000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

731 BIELENBERG DR STE 102-104
731 BIELENBERG DR STE 102-104

City

Woodbury
Woodbury

State

MN
MN

Postal Code

55125-1700
55125-1700

Country

US
US

Telephone Number

(612) 800-8344
(612) 800-8344

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/25/2021

Provider Address

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