Individual provider · Type 1 NPI
Tina Mai Houa Thao
Driver · Appleton, WI
NPI number
1124770433
Active
Practice location
2300 W Russet Ct
Appleton, WI 54914-6285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Appleton
About NPI 1124770433
Tina Mai Houa Thao's National Provider Identifier is 1124770433, issued on Jan 19, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Appleton, WI. The record was last updated on Jan 19, 2022.