Individual
SHULAMI PARK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
353 H ST, CHULA VISTA, CA 91910-5501
(858) 552-8585
(858) 642-6325
Mailing address
353 H ST, CHULA VISTA, CA 91910-5501
(858) 552-8585
(858) 642-6325
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95021436
CA
Other
Enumeration date
08/15/2022
Last updated
10/03/2024
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