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Jasmine Lee

Student in an Organized Health Care Education/Training Program in Philadelphia, PA. Individual provider (NPI-1).

NPI number1609623206
StatusActive
Last updated in NPPESMay 12, 2024

Details

NPI
1609623206
Entity type
Individual (NPI-1)
Name
Jasmine Lee
Sex
Female
Sole proprietor
No
Enumeration date
May 1, 2024
Certification date
May 12, 2024
Last updated
May 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

833 Chestnut St Ste 220
Philadelphia, PA 19107-4405

Phone 215-955-8465

Mailing address

547 Columbus Ave Apt 4
Boston, MA 02118-1124

Phone 917-605-3981

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