Individual
WONMI MICHELE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 N BYRON BUTLER PKWY, PERRY, FL 32347-2315
(850) 838-8636
Mailing address
555 N BYRON BUTLER PKWY, PERRY, FL 32347-2315
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9116897
FL
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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