Individual
MR. RANDY THIEN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1898
(360) 475-4581
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1898
(360) 475-4581
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86093461
CA
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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