Individual
JAE JEONG GLORIA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DAOM
Contact information
Practice address
175 NATE WHIPPLE HWY STE 205, CUMBERLAND, RI 02864-1425
(401) 371-8779
(401) 543-2723
Mailing address
175 NATE WHIPPLE HWY STE 205, CUMBERLAND, RI 02864-1425
(401) 371-8779
(401) 543-2723
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
171100000X
Acupuncturist
Primary
DA00468
RI
Other
Enumeration date
09/07/2020
Last updated
07/15/2026
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