Myung Sook Lee
Massage Therapist in San Jose, CA. Individual provider (NPI-1).
NPI number1114398658
StatusActive
Last updated in NPPESOct 27, 2015
Details
- NPI
- 1114398658
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Myung Sook Lee
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2015
- Last updated
- Oct 27, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 65161 | CA | Yes |
Practice location
765 Modern Ice DrSan Jose, CA 95112-4857
Phone 408-340-8408
Mailing address
765 Modern Ice DrSan Jose, CA 95112-4857
Phone 408-340-8408
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