Individual
LEE CHERBONNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1051 TENNIS LN, TRACY, CA 95376-4417
(209) 740-4483
Mailing address
1051 TENNIS LN, TRACY, CA 95376-4417
(209) 740-4483
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
561892
CA
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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