Individual
LEE BELLA ABUAN MANDAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
69175 RAMON RD BLDG A, CATHEDRAL CITY, CA 92234-3344
(760) 321-6776
Mailing address
7601 MASTERS ST, ELK GROVE, CALIFORNIA 95758
(916) 897-7321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95000984
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95000984
CA
Other
Enumeration date
08/19/2014
Last updated
04/21/2021
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