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MRS. BRENDA MARIE LEE NP
Women's Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1699754952
Individual Registrant:MRS. BRENDA MARIE LEE NP
Gender: F
Not Sole Proprietor
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
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: --
Tel: 916-484-0825 Fax: --
Registration Information:
NPI: 1699754952
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LW0102X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Women's Health | CA | 194591 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
