Individual
JACOB LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
27203 216TH AVE SE STE 1, MAPLE VALLEY, WA 98038-3273
(253) 638-2424
Mailing address
27203 216TH AVE SE STE 1, MAPLE VALLEY, WA 98038-3273
(253) 628-2424
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
61522990
WA
Other
Enumeration date
03/25/2024
Last updated
04/09/2025
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