Individual
JAEYEON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
896 ASYLUM AVE, HARTFORD, CT 06105-1901
(860) 522-8241
Mailing address
896 ASYLUM AVE, HARTFORD, CT 06105-1901
(860) 522-8241
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/14/2017
Last updated
07/21/2022
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