Individual
JAY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1841 FORT WEAVER RD, EWA BEACH, HI 96706-1909
(808) 681-3500
Mailing address
1654 LIHOLIHO ST APT 16, HONOLULU, HI 96822-2914
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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