Individual
MS. MARCIA JEAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4650 SUNSET BL. MS#53, LOS ANGELES, CA 90027
(323) 361-8176
Mailing address
4650 SUNSET BL. MS#53, LOS ANGELES, CA 90027
(323) 361-8176
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20266
CA
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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