Individual
MRS. IRENE C LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10080 N WOLFE RD, SUITE 3-100, CUPERTINO, CA 95014-2515
(408) 342-6600
(408) 342-6655
Mailing address
10080 N WOLFE RD, SW3-100, CUPERTINO, CA 95014-2515
(408) 342-6600
(408) 342-6655
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 1943
CA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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