Individual
JA-TEE IRENE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, BSN, RN, WHNP
Contact information
Practice address
6955 FOOTHILL BLVD, #200, OAKLAND, CA 94605-2455
(510) 567-5700
Mailing address
6955 FOOTHILL BLVD, #200, OAKLAND, CA 94605-2455
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
20460
CA
Other
Enumeration date
12/03/2010
Last updated
10/21/2011
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