Individual
CARMEN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2222 BANCROFT WAY, MC4300, BERKELEY, CA 94720
(510) 642-2621
(510) 643-2997
Mailing address
2222 BANCROFT WAY, MC4300, BERKELEY, CA 94720
(510) 642-2621
(510) 643-2997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
764960
CA
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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