Provider Demographics
NPI:1619387610
Name:JOE, SEHEE (LAC)
Entity Type:Individual
Prefix:
First Name:SEHEE
Middle Name:
Last Name:JOE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
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Mailing Address - Street 1:1780 TOWN AND COUNTRY DR
Mailing Address - Street 2:#A-102
Mailing Address - City:NORCO
Mailing Address - State:CA
Mailing Address - Zip Code:92860-3617
Mailing Address - Country:US
Mailing Address - Phone:951-270-0036
Mailing Address - Fax:951-270-0023
Practice Address - Street 1:1780 TOWN AND COUNTRY DR
Practice Address - Street 2:#A-102
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-3617
Practice Address - Country:US
Practice Address - Phone:951-270-0036
Practice Address - Fax:951-270-0023
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-30
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC16053171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist