Individual
MRS. JENNIE M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1510 N EDGEMONT ST, LOS ANGELES, CA 90027-5260
(323) 783-8693
(818) 993-3469
Mailing address
1510 N EDGEMONT ST, LOS ANGELES, CA 90027-5260
(323) 783-8693
(818) 993-3469
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA3169
CA
Other
Enumeration date
11/01/2006
Last updated
12/06/2021
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