Healthcare Provider Details

I. General information

NPI: 1104671643
Provider Name (Legal Business Name): MONEE LEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2024
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2513 YOUNGSTOWN RD
TURLOCK CA
95380-9707
US

IV. Provider business mailing address

7301 PELICAN CT
WINTON CA
95388-9463
US

V. Phone/Fax

Practice location:
  • Phone: 209-677-0327
  • Fax:
Mailing address:
  • Phone: 209-325-3091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: