Individual provider · Type 1 NPI

Maui Michael Gary Lee Iii

Student in an Organized Health Care Education/Training Program · Pomona, CA

NPI number 1245070721 Active

Practice location

309 E 2nd St
Pomona, CA 91766-1854

Call (909) 469-5589 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245070721

Maui Michael Gary Lee Iii's National Provider Identifier is 1245070721, issued on May 30, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pomona, CA. The record was last updated on May 30, 2024.