Most Relevant Information
Provider Data
| NPI Number: | 1003073966 |
| Provider Name: | VAN THI LE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/19/2008 |
| Last Updated: | 05/19/2008 |
Provider Practice Location
4422 N PERSHING AVE STE D5
STOCKTON
CA
952076967
Practice Location Phone/Fax
| Phone: | 2099538843 |
| Fax: | 2099538478 |
Provider Mailing Location
4422 N PERSHING AVE STE D5
STOCKTON
CA
952076967
Provider Mailing Phone/Fax
| Phone: | 2099538843 |
| Fax: | 2099538478 |