Individual
MRS. JOAN ODETTA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1765 NW 189TH TER, MIAMI GARDENS, FL 33056-3334
(305) 303-1219
Mailing address
1765 NW 189TH TER, MIAMI GARDENS, FL 33056-3334
(305) 303-1219
(305) 503-7096
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686664696
—
FL
Enumeration date
01/27/2022
Last updated
01/27/2022
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