Individual
JERRED LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
62 ABMC BLDG 620305 8TH STREET, CAMP PENDLETON, CA 92055
(760) 725-7918
Mailing address
24474 WESTHAVEN CT, MURRIETA, CA 92562-3838
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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