MARY MIMI LEE

LOMA LINDA, CA
NPI1821480732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2086S0129X 
(Licence: CA  19531)
Additional Taxonomies208600000X Surgery
(Licence: NY  302352)
Enumeration Date2015-03-02
Last Update Date2023-06-20
Business Address
Dr. MARY MIMI LEE D.O.
11201 BENTON ST
LOMA LINDA, CA 92357-3504
Phone number: 098-257-0849
Mailing Address
Dr. MARY MIMI LEE D.O.
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
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