Individual
EDEN SANTIAGO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3014 W CHARLESTON BLVD STE 130, LAS VEGAS, NV 89102-0083
(702) 671-6475
(702) 671-6440
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12198
NV
2084P0800X
Psychiatry Physician
35076130
OH
Other
Enumeration date
10/04/2006
Last updated
06/02/2020
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