JUSTIN DANIEL LEE

COSTA MESA, CA
NPI1316732365
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-10
Last Update Date2025-04-10
Business Address
JUSTIN DANIEL LEE
2116 TIDEWATER CIR
COSTA MESA, CA 92627-3955
Phone number: 909-952-0989
Mailing Address
JUSTIN DANIEL LEE
2116 TIDEWATER CIR
COSTA MESA, CA 92627-3955
Phone number: