Thao Phan
Thao Phan is a Student in an Organized Health Care Education/Training Program in San Rafael, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
50 Acacia AveSan Rafael, CA 94901-2230
Phone: (415) 457-4440
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1518744887 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 11, 2023 |
| Last updated in NPPES | September 11, 2023 |
| Certification date | September 11, 2023 |
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