SHADOW LEE

FRESNO, CA
NPI1952946360
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  704476)
Enumeration Date2019-11-08
Last Update Date2019-11-08
Business Address
SHADOW LEE
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
Mailing Address
SHADOW LEE
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
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