SearchCalifornia133VN1005X

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 Inc
Inferred 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