Individual
CODY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
58471 29 PALMS HWY STE 102, YUCCA VALLEY, CA 92284-5818
(760) 853-4888
Mailing address
58471 29 PALMS HWY STE 102, YUCCA VALLEY, CA 92284-5818
(760) 853-4888
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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