Individual
JAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25250 PACIFIC HIGHWAY S, KENT, WA 98032
(253) 946-7433
Mailing address
25250 PACIFIC HWY S, KENT, WA 98032-6539
(253) 946-7433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60266985
WA
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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