Individual
JILLIAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8353 TX-34, WOLFE CITY, TX 75496
(443) 939-5522
Mailing address
2436 BARCLAY ST, BALTIMORE, MD 21218-5326
(443) 939-5522
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/08/2016
Last updated
08/17/2018
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