Individual
MISHA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8912 VOLUNTEER LN, SACRAMENTO, CA 95826-3221
(916) 926-3896
Mailing address
8912 VOLUNTEER LN, SACRAMENTO, CA 95826-3221
(916) 926-3896
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-XZQOUF
CA
Other
Enumeration date
06/22/2022
Last updated
09/27/2023
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