Provider Demographics
NPI:1003331620
Name:DO, THUYDAN-DARLENE VU
Entity Type:Individual
Prefix:
First Name:THUYDAN-DARLENE
Middle Name:VU
Last Name:DO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2844 SCHOONER CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-3038
Mailing Address - Country:US
Mailing Address - Phone:408-472-7365
Mailing Address - Fax:
Practice Address - Street 1:41400 BLACOW RD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-3387
Practice Address - Country:US
Practice Address - Phone:510-440-8195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-04
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75178333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy