Individual
THOMAS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS RD
Contact information
Practice address
85099 CHRISTIAN WAY APT 114, YULEE, FL 32097-3402
(904) 463-2570
Mailing address
85099 CHRISTIAN WAY APT 114, YULEE, FL 32097-3402
(904) 463-2570
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86040770
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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