Individual
DIEM PHUONG LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8686
Mailing address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(415) 206-8125
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95053139
CA
Other
Enumeration date
03/07/2008
Last updated
03/17/2016
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