Individual
CELESTE MYONG SUK LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5614 81ST ST E, PUYALLUP, WA 98371-5447
(253) 282-1397
Mailing address
5614 81ST ST E, PUYALLUP, WA 98371-5447
(253) 282-1397
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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