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Mary Le
Pediatric Nurse Practitioner in San Jose, California
NPI 1568909315

Mary Le is a Pediatric Nurse Practitioner based in San Jose, CA and is specialized in Pediatrics. Mary Le practices in San Jose, CA. The NPI Number for Mary Le is 1568909315 and holds a License No. 95005484 (California).

The current practice location address for Mary Le is 751 South Bascom Avenue, San Jose, CA and can be reached out via phone at 415-933-4082.

Location: 751 South Bascom Avenue, San Jose, CA, 95128-2604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568909315
Provider Name
Mary Le
Credential
Provider Entity Type
Individual
Gender
Female
Address
751 South Bascom Avenue, San Jose, CA, 95128-2604
Phone Number
415-933-4082
Fax Number
Provider Enumeration Date
01/31/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
751 South Bascom Avenue
City
San Jose
State
California
Zip
95128-2604
Phone Number
415-933-4082
Fax Number
person
Provider Business Mailing Address Details
Address
751 South Bascom Avenue
City
San Jose
State
California
Zip
95128-2604
Phone Number
415-933-4082
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
95005484 (California)
Definition
Definition to come...
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