Individual
JACQUELINE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6310 BROWNS MILL RD, STONECREST, GA 30038-4209
(321) 557-6041
Mailing address
6310 BROWNS MILL RD, STONECREST, GA 30038-4209
(321) 557-6041
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN095403
GA
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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