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Lee Trevenia Wiseman

Case Manager/Care Coordinator in Rialto, CA. Individual provider (NPI-1).

NPI number1851751978
StatusActive
Last updated in NPPESMar 4, 2016

Details

NPI
1851751978
Entity type
Individual (NPI-1)
Name
Lee Trevenia Wiseman
Sex
Female
Sole proprietor
No
Enumeration date
Mar 2, 2016
Last updated
Mar 4, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

850 E Foothill Blvd
Rialto, CA 92376-5230

Phone 909-874-4099

Mailing address

850 E Foothill Blvd
Rialto, CA 92376-5230

Phone 909-873-4099

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