Individual
DAVID JUNGPA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 643-0667
Mailing address
9 WIGGLESWORTH ST APT 1, ROXBURY CROSSING, MA 02120-1602
(213) 235-8975
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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