Individual
VIVIAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 SAINT ROSE PKWY, HENDERSON, NV 89052-3839
(702) 616-5694
Mailing address
8578 DIANTHUS WAY, ELK GROVE, CA 95624-3849
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
84827
CA
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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