Individual
DR. JIEUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 AVE AT PORT IMPERIAL, WEST NEW YORK, NJ 07093-8413
(201) 941-7170
(201) 867-1976
Mailing address
19 AVE AT PORT IMPERIAL, WEST NEW YORK, NJ 07093-8413
(201) 941-7170
(201) 867-1976
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03400300
NJ
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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