Individual
ALEX LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
800 N 1ST ST, SAN JOSE, CA 95112-6312
(408) 299-0462
Mailing address
3438 KOHLER RD, SAN JOSE, CA 95148-1736
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
182711
CA
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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