Individual
JONATHAN ANDREW LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1001 E BOGARD RD # 1, WASILLA, AK 99654-7114
(907) 376-2225
Mailing address
1001 E BOGARD RD # 1, WASILLA, AK 99654-7114
(907) 376-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
229315
AK
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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