Individual
MRS. RAMONA TAESOON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CNSD
Contact information
Practice address
2504 NW MEDICAL PARK DR, ROSEBURG, OR 97471-5510
(541) 957-0111
(541) 957-0333
Mailing address
2504 NW MEDICAL PARK DR, ROSEBURG, OR 97471-5510
(541) 957-0111
(541) 957-0333
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-000321
OR
Other
Enumeration date
07/31/2012
Last updated
12/06/2012
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