Individual provider · Type 1 NPI
Alice Thipphavong, MS, RD
Renal Nutrition Registered Dietitian · San Jose, CA
Practice location
1290 Tully Rd Ste 60
San Jose, CA 95122-3069
Fax (408) 275-0115
Mailing address
1131 Sabal Ct
San Jose, CA 95132-2866
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Renal Nutrition Registered Dietitian Primary | 133VN1005X | R519736 (IL) |
Renal Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrol…
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About NPI 1275982837
Alice Thipphavong, MS, RD's National Provider Identifier is 1275982837, issued on Jun 5, 2016. The primary taxonomy on file is Renal Nutrition Registered Dietitian (133VN1005X), and the practice location is in San Jose, CA. The record was last updated on Jun 5, 2016.