RYAN ANDREW LEE

SOUTH BEND, IN
NPI1659124170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-08
Last Update Date2024-04-08
Business Address
RYAN ANDREW LEE DO
714 N MICHIGAN ST
SOUTH BEND, IN 46601-1035
Phone number: 574-647-7477
Mailing Address
RYAN ANDREW LEE DO
714 N MICHIGAN ST
SOUTH BEND, IN 46601-1035
Phone number: 574-647-7477