Individual
ALICE K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2699
(408) 885-6616
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-6616
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-31105
CA
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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