DIANA THAO

BRONX, NY
NPI1720629843
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  024142)
Enumeration Date2019-09-30
Last Update Date2019-09-30
Business Address
DIANA THAO PA-C
1054 SIMPSON ST
BRONX, NY 10459-2404
Phone number: 718-589-2440
Mailing Address
DIANA THAO PA-C
2090 HYACINTH AVE E
SAINT PAUL, MN 55119-3253
Phone number: 651-332-6826