Individual
ALEX LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3037 BRYANT PL, DAVIS, CA 95618-1613
(916) 417-6384
Mailing address
8414 YERMO WAY, SACRAMENTO, CA 95828-6318
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
281128
CA
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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