Most Relevant Information
Provider Data
| NPI Number: | 1003357781 |
| Provider Name: | KIA LEE FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0808X |
| Specialty: | Registered Nurse |
| License Number: | 95122627 |
Most Important Dates
| Enumeration Date: | 03/15/2017 |
| Last Updated: | 12/28/2021 |
Provider Practice Location
1908 N BEALE RD
MARYSVILLE
CA
959016937
Practice Location Phone/Fax
| Phone: | 5307436888 |
| Fax: |
Provider Mailing Location
1908 N BEALE RD
MARYSVILLE
CA
959016937
Provider Mailing Phone/Fax
| Phone: | 5307436888 |
| Fax: |