Individual
JE EUN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1355
Mailing address
11 WYMAN ST APT 1B, JAMAICA PLAIN, MA 02130-1981
(617) 640-8005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH23461
PA
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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