Individual
KENIA VICTORIA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
806 W 3RD ST, SAN JUAN, TX 78589
(956) 787-8915
(956) 787-2021
Mailing address
801 W 1ST ST, SAN JUAN, TX 78589-2276
(956) 787-8915
(956) 787-2021
Taxonomy
Speciality
Code
Description
License number
State
363LP1700X
Perinatal Nurse Practitioner
Primary
AP110044
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320648401
—
TX
Enumeration date
07/13/2005
Last updated
08/31/2018
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