DR. Jisoo Lee

NPI #1043867963 in Ukiah, California

Provider Information

NPI Number: 1043867963
Entity Type: Individual
Name: DR. Jisoo Lee
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 26, 2019
Last Updated: Dec 13, 2019

Practice Location

Address: 653 S STATE ST
City: Ukiah
State: California
ZIP Code: 95482-4912
Phone: (707) 467-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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