Individual
PAMELA JEAN LEE
Active
Individual
PAMELA JEAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PA17020
CA
363A00000X
Physician Assistant
WPA17020
CA
363AM0700X
Medical Physician Assistant
Primary
WPA17020
CA
Other
Enumeration date
07/05/2006
Last updated
08/27/2014
Update your record
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