GRACE LEE

PROVIDENCE, RI
NPI1609092154
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: RI  LP00935)
Enumeration Date2007-04-17
Last Update Date2007-07-08
Business Address
-- GRACE LEE
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8450
Mailing Address
-- GRACE LEE
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8450
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