Individual
MR. BRYAN PAUL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
1811 RAVENCREST DR, BREA, CA 92821-6050
(714) 351-6686
Mailing address
1811 RAVENCREST DR, BREA, CA 92821-6050
(714) 351-6686
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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