Thipphavong, Alice

Thipphavong, Alice is an sole proprietor health care provider with primary practice located at 1290 Tully Rd Ste 60 , San Jose CA 95122-3069. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Thipphavong, Alice can be contacted via phone (408) 275-0105.

Contact Information

Primary practice address
1290 Tully Rd Ste 60 San Jose CA 95122-3069
Phone: (408) 275-0105
Fax: (408) 275-0115
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X R519736 Illinois

Profile Details

NPI number 1275982837
LBN Legal business name Thipphavong, Alice
Credentials MS, RD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2016
Last updated Jun 5th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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