Individual
DR. JAE WOOK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11220 CANYON RD E, PUYALLUP, WA 98373-4354
(253) 537-3071
Mailing address
11220 CANYON RD E, PUYALLUP, WA 98373-4354
(253) 537-3071
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60983482
WA
Other
Enumeration date
03/06/2021
Last updated
03/24/2021
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