Provider Demographics
NPI:1205666294
Name:DO, THI THUY LINH
Entity type:Individual
Prefix:
First Name:THI THUY LINH
Middle Name:
Last Name:DO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 COUNTRYSIDE TRAILER CT S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-7908
Mailing Address - Country:US
Mailing Address - Phone:701-371-2268
Mailing Address - Fax:
Practice Address - Street 1:801 COUNTRYSIDE TRAILER CT S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-7908
Practice Address - Country:US
Practice Address - Phone:701-371-2268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant