THAO PHUNG SOPER

BALTIMORE, MD
NPI1114253739
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0004123)
Additional Taxonomies363A00000X Physician Assistant
(Licence: PA  MA054159)
Enumeration Date2009-11-02
Last Update Date2014-11-10
Business Address
Miss THAO PHUNG SOPER PA-C
9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237-3901
Phone number: 443-777-7046
Mailing Address
Miss THAO PHUNG SOPER PA-C
9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237-3901
Phone number: 443-777-7046
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