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Individual
THAO NGOC LE
Active
Individual
THAO NGOC LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP20406
CA
363LF0000X
Family Nurse Practitioner
20406
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EFF:10/15/13-ADELANT
—
CA
05
—
EFF:10/21/13 VICTORV
—
CA
01
—
P01288528/DU5182
RAILROAD MEDICARE-VICTORVILLE
CA
Enumeration date
04/01/2011
Last updated
12/13/2021
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