Individual
CHARLES LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3737 MARCONI AVE, SACRAMENTO, CA 95821-5303
(916) 480-1801
Mailing address
3737 MARCONI AVE, SACRAMENTO, CA 95821-5303
(916) 480-1801
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41823
CA
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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