Search › California › 183500000X
Jisoo Lee
NPI 1043867963 · on the registry since 2019
Practice
- Address
- 653 S State St
Ukiah, CA 95482 - Phone
- (707) 467-2700
- Organisation at this address
- Safeway Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California