Individual
SANGJIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10195 ANCORA CIR APT 2400, ORLANDO, FL 32821-7458
(678) 933-5556
Mailing address
10195 ANCORA CIR APT 2400, ORLANDO, FL 32821-7458
(678) 933-5556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9391251
FL
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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