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Thais Macedo Soares

NPI 1851777940 · on the registry since 2015 · sole proprietor

Practice

Address
318 Euclid St
Santa Monica, CA 90402
Phone
(626) 202-7599

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California