Individual
CARISSA CHERYL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1872
(510) 350-2600
Mailing address
500 UNIVERSITY DRIVE, PO BOX 850 MAIL CODE H152, HERSHEY, PA 17033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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