Individual
TOMXIA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 THAYER ST, QUINCY, MA 02169-2010
(617) 320-9679
Mailing address
9 THAYER ST, QUINCY, MA 02169-2010
(617) 320-9679
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2274644
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2274644
RN LICENSE
MA
Enumeration date
06/11/2015
Last updated
06/11/2015
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