Individual
JESSICA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 WHEATON WAY STE B, BREMERTON, WA 98310
(360) 782-5826
(360) 782-5899
Mailing address
2512 WHEATON WAY STE B, BREMERTON, WA 98310-3303
(360) 782-5826
(360) 782-5899
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
03/28/2019
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