Matthew Seng Thao is a student in an organized health care education training program in Maplewood, MN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Matthew Seng Thao NPI is 1700264751. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1470 GERVAIS AVE
MAPLEWOOD, MN
ZIP 55109
Phone: (651) 230-9093
The enumeration date for this NPI number is 5/11/2015 and was last updated on 5/11/2015.