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Individual

MS. THERESAMAI THUY LE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
827 KOZERA DR, SAN JOSE, CA 95136-2714
(408) 266-8598
Mailing address
827 KOZERA DR, SAN JOSE, CA 95136-2714

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
10557
CA

Other

Enumeration date
06/10/2011
Last updated
06/10/2011
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