Lee Delima RAS

NPI 1194924936 - Counselor - 101YA0400X

NPI Details
NPI 1194924936
Gender Male
Enumeration Date 07/12/2007
Last Updated 07/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2523 EL PORTAL DR
SUITE #206
SAN PABLO CA, 94806-3305, US
Phone (510) 374-7011
Fax
Business Location
2523 EL PORTAL DR
SUITE #206
SAN PABLO CA, 94806-3305, US
Phone (510) 374-7011
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number D0501041740
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According to our database, Mr. Lee Delima RAS NPI is 1194924936, taxonomy code is 101YA0400X and license number is D0501041740, license state is located at California. Lee Delima RAS physically located at 2523 El Portal Dr, San Pablo CA, 94806-3305. NPI Number Lee Delima RAS has the Individual type.

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1194924936 NPI number is provided on an as is basis without warranty of any kind. 1194924936 is maintained by the National Plan & Provider Enumeration System. The contents of Lee Delima RAS are for informational purposes only.