Individual
REBECCA LEES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1454 GUAVA AVE, MELBOURNE, FL 32935-6545
(321) 482-7080
Mailing address
1454 GUAVA AVE, MELBOURNE, FL 32935-6545
(321) 482-7080
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXXX
N/A
—
Enumeration date
02/15/2021
Last updated
02/15/2021
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