Individual
JEAN SOONHA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
169 WYTHE AVE, SUITE 104, BROOKLYN, NY 11249-8676
(718) 930-7920
Mailing address
268 FRANKLIN ST, 3R, BROOKLYN, NY 11222-6177
(646) 522-8034
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002708
NY
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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