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Individual

JENON LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8575
Mailing address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8575

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
225400000X
Rehabilitation Practitioner
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
02/04/2010
Last updated
05/09/2025
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