Individual
MS. HO RIM LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NDTR
Contact information
Practice address
1447 SUMMIT ST, LINWOOD, PA 19061-4338
(610) 457-2409
Mailing address
1447 SUMMIT ST, LINWOOD, PA 19061-4338
(610) 457-2409
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
86172410
PA
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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