WILLY THAI

SACRAMENTO, CA
NPI1629851043
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-08-17
Last Update Date2023-10-10
Business Address
WILLY THAI
2570 48TH ST
SACRAMENTO, CA 95817-1541
Phone number: 916-734-2145
Mailing Address
WILLY THAI
2570 48TH ST
SACRAMENTO, CA 95817-1541
Phone number: