Individual
GRACE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3515 GRAND AVE, OAKLAND, CA 94610-2037
(415) 562-5263
Mailing address
4357 W 5TH ST APT N, LOS ANGELES, CA 90020-4532
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
20052
CA
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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