Search › California › 133VN1005X
Alice Thipphavong, MS, RD
NPI 1275982837 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1290 Tully Rd Ste 60
San Jose, CA 95122 - Phone
- (408) 275-0105
- Fax
- (408) 275-0115
- Organisation at this address
- Ponca Dialysis Llc
Total Renal Care IncInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 133VN1005X
133VN1005X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California