Individual
REBECCA JEAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30669 US HIGHWAY 19 N STE 409, PALM HARBOR, FL 34684-4410
(214) 868-2710
Mailing address
30669 US HIGHWAY 19 N STE 409, PALM HARBOR, FL 34684-4410
(214) 868-2710
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29-44-1498101
FL
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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