Individual
CANDICE JI EUN LEE-WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
264 N HIGHLAND SPRINGS AVE STE 4, BANNING, CA 92220-3082
(951) 769-0079
(888) 854-7592
Mailing address
264 N. HIGHLAND SPRINGS, SUITE 4, BANNING, CA 92220
(951) 769-0079
(888) 854-7592
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A144571
CA
Other
Enumeration date
06/19/2013
Last updated
07/21/2022
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