Individual
DIEM-THUY THI LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
685 COLEMAN AVE STE 20, SAN JOSE, CA 95110-2011
(800) 972-5547
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(800) 972-5547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54411
CA
Other
Enumeration date
06/09/2017
Last updated
04/27/2020
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