Individual
JAELYNN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 BUTTFIELD DR, PLAINFIELD, NJ 07060-2808
(908) 413-5115
Mailing address
235 BUTTFIELD DR, PLAINFIELD, NJ 07060-2808
(908) 413-5115
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
L21583836159922
NJ
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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