Individual
PEARL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 298-4331
Mailing address
6545 MARKET AVE N STE 100, CANTON, OH 44721-2430
(937) 701-3771
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.020088
OH
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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