Mickey Lee

NPI #1134666225 in Manteca, California

Provider Information

NPI Number: 1134666225
Entity Type: Individual
Name: Mickey Lee
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 26, 2017
Last Updated: Jan 26, 2017

Practice Location

Address: 367 N UNION RD APT 112
City: Manteca
State: California
ZIP Code: 95337-4386
Phone: (209) 610-4388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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