Individual
JACOB LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3427 GONI RD STE 104, CARSON CITY, NV 89706-7972
(702) 251-0111
Mailing address
445 KENSINGTON AVE, MISSOULA, MT 59801-5723
(406) 214-8308
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-4019
NV
Other
Enumeration date
09/19/2024
Last updated
09/26/2024
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