Individual
BONNIE E LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10318 ALMANOR CIR, STOCKTON, CA 95219-7100
(530) 520-4186
Mailing address
PO BOX 30053, STOCKTON, CA 95213-0053
(530) 520-4186
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN81462
CA
Other
Enumeration date
05/15/2008
Last updated
04/05/2013
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