Individual
MRS. BRENDA MARIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5342 DUDLEY BLVD, MCCLELLAN, CA 95652-1012
(916) 561-7480
(916) 561-7486
Mailing address
4950 THOR WAY, CARMICHAEL, CA 95608-5650
(916) 484-0825
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
194591
CA
Other
Enumeration date
01/13/2006
Last updated
04/28/2008
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