Provider Demographics
NPI:1225895816
Name:DAO, WENDY THUY (PA)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:THUY
Last Name:DAO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12882 GALWAY ST APT 13
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-5225
Mailing Address - Country:US
Mailing Address - Phone:910-233-6274
Mailing Address - Fax:
Practice Address - Street 1:12882 GALWAY ST APT 13
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841-5225
Practice Address - Country:US
Practice Address - Phone:910-233-6274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program