Individual
KIANA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
211 EASTMOOR AVE, DALY CITY, CA 94015-2036
(650) 550-3923
Mailing address
211 EASTMOOR AVE, DALY CITY, CA 94015-2036
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA62142
CA
Other
Enumeration date
11/16/2022
Last updated
02/27/2024
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