JACOB A LEE

SAN DIEGO, CA
NPI1477327138
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2023-11-13
Last Update Date2023-11-13
Business Address
Mr. JACOB A LEE SFIDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
Mailing Address
Mr. JACOB A LEE SFIDC
3950 LOUISIANA ST UNIT 205
SAN DIEGO, CA 92104-6433
Phone number: 405-620-3841