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Mickey Lee
Student in an Organized Health Care Education/Training Program in Manteca, California
NPI 1134666225

Mickey Lee is a Student in an Organized Health Care Education/Training Program based in Manteca, CA. Mickey Lee practices in Manteca, CA. The NPI Number for Mickey Lee is 1134666225 and holds a License No. (California).

The current practice location address for Mickey Lee is 367 N Union Rd Apt 112, Manteca, CA and can be reached out via phone at 209-610-4388.

Location: 367 N Union Rd Apt 112, Manteca, CA, 95337-4386
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134666225
Provider Name
Mickey Lee
Credential
Provider Entity Type
Individual
Gender
Male
Address
367 N Union Rd Apt 112, Manteca, CA, 95337-4386
Phone Number
209-610-4388
Fax Number
Provider Enumeration Date
01/26/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
367 N Union Rd Apt 112
City
Manteca
State
California
Zip
95337-4386
Phone Number
209-610-4388
Fax Number
person
Provider Business Mailing Address Details
Address
367 N Union Rd Apt 112
City
Manteca
State
California
Zip
95337-4386
Phone Number
209-610-4388
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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