Organization
EXPRESS METABOLICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH M LEE PA-C (OWNER/CLINIC MANAGER)
209698088672
Entity
Organization
Contact information
Practice address
990 GOODWIN DR, RIPON, CA 95366-9446
(209) 608-8672
Mailing address
1112 N MAIN ST, PMB 114, MANTECA, CA 95336-3208
(209) 608-8672
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
PA16158
CA
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
10/09/2008
Last updated
07/08/2011
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