Individual
JIBOK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2530 NE KRESKY AVE, STE A, CHEHALIS, WA 98532-2406
(360) 996-4800
Mailing address
2530 NE KRESKY AVE, STE A, CHEHALIS, WA 98532-2406
(360) 996-4800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60576300
WA
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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