Most Relevant Information
Provider Data
| NPI Number: | 1003512609 |
| Provider Name: | THI GAI HOANG |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: | NA |
Most Important Dates
| Enumeration Date: | 02/06/2023 |
| Last Updated: | 02/06/2023 |
Provider Practice Location
6245 58TH AVE S
FARGO
ND
581045722
Practice Location Phone/Fax
| Phone: | 7019290420 |
| Fax: |
Provider Mailing Location
6245 58TH AVE S
FARGO
ND
581045722
Provider Mailing Phone/Fax
| Phone: | 7019290420 |
| Fax: |