Blaichia Thao
Blaichia Thao is a Student in an Organized Health Care Education/Training Program in Warren, Michigan. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
11900 E 12 Mile Rd Ste 102Warren, MI 48093-3487
Phone: (586) 582-6630
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1508553900 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 18, 2023 |
| Last updated in NPPES | April 28, 2023 |
| Certification date | April 28, 2023 |
| Mailing address | 11900 E 12 Mile Rd Ste 102, Warren, MI 48093-3487 |
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