NPI 1770996100

Vang Thao, ADMINISTRATOR

Practitioner Home Health Aide Madison, WI

Practice location

Address: 1402 Greenway Cross Suite 101, Madison, WI 53713-3181
Phone: (608) 251-2273
Fax: (866) 748-3232

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X Licence 100014484 (WI)

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Registry record

NPI: 1770996100
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jun 2014
Record last updated: 3 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.