Individual
KEVIN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5444 FAIRWAY DR, SAN JOSE, CA 95127-1609
(408) 417-0131
Mailing address
5444 FAIRWAY DR, SAN JOSE, CA 95127-1609
(408) 417-0131
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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