Individual
KWANG YEON CAROL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3298
(714) 880-7812
Mailing address
2119 WINTERWOOD DR, FULLERTON, CA 92833-1251
(310) 694-4318
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95015771
CA
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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