Individual
JOHNATHAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 WISCONSIN AVE NW, WASHINGTON, DC 20007-3603
(202) 955-8355
(202) 289-5461
Mailing address
1010 WISCONSIN AVE NW, WASHINGTON, DC 20007-3603
(202) 955-8355
(202) 289-5461
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1028260
DC
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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