| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Diep Ngoc Le | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Diep | [sources] | |||
| Last name | Le | [sources] | |||
| Middle name | Ngoc | [sources] | |||
| NPI | 1891014767 | [sources] | |||
| Registration number | RPH 51274 | [sources] | |||
| Sector | Pharmacy/Pharmacist | [sources] | |||
| Address | 10263 Smokebush Court, Fort Meyers, FL, 33913 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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