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Individual

ANGELA RENEE LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1009 N AVALON BLVD, WILMINGTON, CA 90744-4505
(310) 549-5760
(310) 549-2277
Mailing address
1009 N AVALON BLVD, WILMINGTON, CA 90744-4505
(310) 549-5760
(310) 549-2277

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14169
CA

Other

Enumeration date
03/13/2008
Last updated
05/27/2020
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