Individual
DIANE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5630 N DESERT BLVD, EL PASO, TX 79912-1636
(915) 845-1422
Mailing address
5630 N DESERT BLVD, EL PASO, TX 79912-1636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
56381
TX
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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