Individual
AMY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
955 POWELL AVE SW, RENTON, WA 98057-2908
(860) 449-4855
Mailing address
2110 NE 8TH ST, RENTON, WA 98056-3616
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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