Provider Demographics
NPI:1891207072
Name:LE, THUY VI THI (BS)
Entity Type:Individual
Prefix:
First Name:THUY VI
Middle Name:THI
Last Name:LE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:VI
Other - Middle Name:T
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1541 TOLBERT DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-2456
Mailing Address - Country:US
Mailing Address - Phone:408-425-7166
Mailing Address - Fax:
Practice Address - Street 1:1171 HOMESTEAD RD STE 280
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-5486
Practice Address - Country:US
Practice Address - Phone:408-320-2590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-28
Last Update Date:2017-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other