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Individual

CHARLES LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2633 E 27TH ST, OAKLAND, CA 94601-1912
(213) 344-6062
Mailing address
2633 E 27TH ST, OAKLAND, CA 94601-1912
(213) 344-6062

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
783323
CA

Other

Enumeration date
05/04/2022
Last updated
05/04/2022
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