Individual
DER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
370 HATCH AVE, SAINT PAUL, MN 55117-5125
(651) 487-2393
Mailing address
370 HATCH AVE, SAINT PAUL, MN 55117-5125
(651) 487-2393
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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