KAITLIN LEE

TUSTIN, CA
NPI1639765944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA60482)
Additional Taxonomies363A00000X Physician Assistant
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-12-21
Last Update Date2021-12-09
Business Address
KAITLIN LEE
2875 BAXTER
TUSTIN, CA 92782-1333
Phone number: 714-293-9976
Mailing Address
KAITLIN LEE
2875 BAXTER
TUSTIN, CA 92782-1333
Phone number: