Individual
RAY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2470 W PULLMAN RD, MOSCOW, ID 83843-4034
(208) 882-1344
Mailing address
924 E INDIANA AVE, SPOKANE, WA 99207-2559
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
60286362
WA
390200000X
Student in an Organized Health Care Education/Training Program
E33922
ID
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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