Individual
MS. EUN JEONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3104 PONTE MORINO DR STE 110, CAMERON PARK, CA 95682-8282
(530) 621-7700
(530) 621-7713
Mailing address
11594 BIG FOUR WAY, GOLD RIVER, CA 95670-8211
(530) 510-3314
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95000614
CA
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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