Individual
VIVIAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18008 SKY PARK CIR, IRVINE, CA 92614-6433
(949) 474-1493
Mailing address
22905 ESTORIL DR UNIT 3, DIAMOND BAR, CA 91765-4438
(714) 337-9061
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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