Individual
JASMINE SEUNGWON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11075 RESORT RD, ELLICOTT CITY, MD 21042-2065
(410) 461-5014
Mailing address
11075 RESORT RD, ELLICOTT CITY, MD 21042-2065
(410) 461-5014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28257
MD
Other
Enumeration date
10/04/2021
Last updated
07/09/2022
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