Individual
MR. JESSE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2230 LYNN RD STE 103, THOUSAND OAKS, CA 91360-1958
(805) 495-5113
(805) 496-2861
Mailing address
2230 LYNN RD STE 103, THOUSAND OAKS, CA 91360-1958
(805) 495-5113
(805) 496-2861
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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