Individual
JASON W LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA SOCIOLOGY
Contact information
Practice address
16940 HIGHWAY 14 STE F, MOJAVE, CA 93501-1238
(310) 785-2121
Mailing address
16940 HIGHWAY 14 STE F, MOJAVE, CA 93501-1238
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
06/30/2008
Last updated
11/05/2024
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