Individual
MR. TIMOTHY NG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
401 W ADA AVE, GLENDORA, CA 91741-4241
(626) 335-9810
Mailing address
11656 BUTTERFIELD ST, LOMA LINDA, CA 92354-3956
(909) 799-1468
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PT26935
CA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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