Jared Cory Lee

NPI #1871051292 in Woodside, New York

Provider Information

NPI Number: 1871051292
Entity Type: Individual
Name: Jared Cory Lee
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 5, 2019
Last Updated: Mar 5, 2019

Practice Location

Address: 3950 65TH PL
City: Woodside
State: New York
ZIP Code: 11377-3781
Phone: (707) 396-8977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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