Individual
AMY LE TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2670 S WHITE RD STE 200, SAN JOSE, CA 95148-2073
(408) 937-1553
(408) 937-1548
Mailing address
MEKONG COMMUNITY CENTER, 2203 TULLY ROAD, SAN JOSE, CA 95122
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
1346894524
CA
Other
Enumeration date
07/26/2019
Last updated
06/11/2025
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