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Individual

JOSEPHINE SUSAN LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
U
Credential
NP

Contact information

Practice address
505 PARNASSUS AVE # L1556, SAN FRANCISCO, CA 94143-2204
(415) 502-4906
Mailing address
ATTN: BERKELEY CLINIC NP, 510 17TH STREET, OAKLAND, CA 94612-1553
(510) 318-7117

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95032640
CA
363L00000X
Nurse Practitioner
Primary
NP95032640
CA

Other

Enumeration date
10/28/2024
Last updated
07/22/2026
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