Individual
ADELYNA TUYET-NHI CHANTHAKONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
375 S 9TH ST # BOX 156, SAN JOSE, CA 95112-3668
(209) 915-4445
Mailing address
375 S 9TH ST # 156D, SAN JOSE, CA 95112-3668
(209) 915-4445
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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