Individual
LEE ANN BERRYESSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
2813 BALFOR CT, ROCKLIN, CA 95765-4911
(916) 792-0861
Mailing address
2813 BALFOR CT, ROCKLIN, CA 95765-4911
(916) 792-0861
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
13272
CA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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