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MRS. BRENDA MARIE LEE NP

Women's Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1699754952

Individual Registrant:
MRS. BRENDA MARIE LEE NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5342 DUDLEY BLVD  MCCLELLAN, CA 95652-1012 US
Tel: 916-561-7480  Fax: 916-561-7486

Contact information for business:
4950 THOR WAY  CARMICHAEL, CA 95608-5650 US
Tel: 916-484-0825  Fax: --

Registration Information:
NPI: 1699754952
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LW0102XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Women's Health
CA194591

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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