Individual
NICOLE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9201 GOLDEN VALLEY RD APT 122, GOLDEN VALLEY, MN 55427-4384
(612) 400-4055
Mailing address
9201 GOLDEN VALLEY RD APT 122, GOLDEN VALLEY, MN 55427-4384
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R2519925
MN
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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