Individual
JENNIE ELIZABETH LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
395 HICKEY BLVD FL 2, DALY CITY, CA 94015-2770
(650) 301-4580
Mailing address
395 HICKEY BLVD FL 2, DALY CITY, CA 94015-2770
(650) 301-4580
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A128520
CA
Other
Enumeration date
04/10/2012
Last updated
01/17/2022
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