Individual
KEVIN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
615 BROADWAY, MILLBRAE, CA 94030-1909
(650) 697-0166
Mailing address
2401 NOBILI AVE, SANTA CLARA, CA 95051-1400
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
90622
CA
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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