Lee, Mayre Tamara

Lee, Mayre Tamara is an individual health care provider with primary practice located at 770 Mason St Ste 120 , Vacaville CA 95688-4648. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lee, Mayre Tamara can be contacted via phone (707) 741-3037.

Contact Information

Primary practice address
770 Mason St Ste 120 Vacaville CA 95688-4648
Phone: (707) 741-3037
Fax: (707) 451-2324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 10571 California

Profile Details

NPI number 1518063478
LBN Legal business name Lee, Mayre Tamara
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Mar 29th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518063478 NPPES
California Other 10571 NP LICENSE NUMBER

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