Individual
MR. BLONG VANGKHUE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
808 W 16TH ST, MERCED, CA 95340-4600
(029) 381-6830
(209) 383-9666
Mailing address
5110 MORAN AVE, MERCED, CA 95340-9737
(029) 357-8161
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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