Brenda L Lee
Technician, Personal Care Attendant in Fernandina, FL. Individual provider (NPI-1).
NPI number1982191326
StatusActive
Last updated in NPPESApr 20, 2018
Details
- NPI
- 1982191326
- Entity type
- Individual (NPI-1)
- Name
- Brenda L Lee
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 20, 2018
- Last updated
- Apr 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 3747P1801X | Technician, Personal Care Attendant | – | FL |
Practice location
95024 Raintree LnFernandina, FL 32034-7105
Phone 904-557-8002 · Fax 904-432-8115
Mailing address
95024 Raintree LnFernandina, FL 32034-7105
Phone 904-557-8002 · Fax 904-432-8115
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