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MRS. JENIE CHUNG LEE OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1427483908

Individual Registrant:
MRS. JENIE CHUNG LEE OD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
53 COLMA BLVD  COLMA, CA 94014-3231 US
Tel: 650-992-2700  Fax: --

Contact information for business:
722 DEL MONTE AVE  SOUTH SAN FRANCISCO, CA 94080-2230 US
Tel: 626-201-2594  Fax: --

Registration Information:
NPI: 1427483908
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
CA14679

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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