Individual
DR. KHANG LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
900 BOARDMAN DR APT I91, GALLUP, NM 87301-4748
(571) 216-7882
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202216150
VA
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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