ALICE THIPPHAVONG

SAN JOSE, CA
NPI1275982837
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133VN1005X Dietitian, Registered, Nutrition, Renal
(Licence: IL  R519736)
Enumeration Date2016-06-05
Last Update Date2016-06-05
Business Address
Mrs. ALICE THIPPHAVONG MS, RD
1290 TULLY RD STE 60
SAN JOSE, CA 95122-3069
Phone number: 408-275-0105
Mailing Address
Mrs. ALICE THIPPHAVONG MS, RD
1131 SABAL CT
SAN JOSE, CA 95132-2866
Phone number: 408-729-1247
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