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Organization

UCSF MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TEH L LEE NP (NURSE PRACTITIONER)
(415) 420-7572
Entity
Organization

Contact information

Practice address
SAN QUENTIN STATE PRISON, SAN QUENTIN, CA 94964
(415) 454-1460
Mailing address
1689 19TH AVE, SAN FRANCISCO, CA 94122-4517
(415) 420-7572

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP12252
CA

Other

Enumeration date
04/26/2007
Last updated
12/04/2007
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