Individual
MR. KWANG JAE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
3400 PAUL AVE APT 5E, BRONX, NY 10468-1016
(310) 913-9286
Mailing address
3400 PAUL AVE APT 5E, BRONX, NY 10468-1016
(310) 913-9286
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
13098
CA
Other
Enumeration date
04/21/2009
Last updated
06/21/2022
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