Individual
JENNIFER LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
753 S GROVE ST, YPSILANTI, MI 48198-6304
(734) 482-7430
Mailing address
753 S GROVE ST, YPSILANTI, MI 48198-6304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302412967
MI
Other
Enumeration date
09/11/2020
Last updated
01/15/2023
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