Individual
JOSEPH YAE-DAM LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
13921 BARNSLEY PL, CENTREVILLE, VA 20120-5209
(703) 915-6389
Mailing address
13921 BARNSLEY PL, CENTREVILLE, VA 20120-5209
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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