Individual
MS. JESSICA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 MAHOGANY DR, NORTH EAST, MD 21901-3616
(443) 907-6568
Mailing address
16 MAHOGANY DRIVE, NORTH EAST, MD 21901
(443) 907-6568
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00101865
MD
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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