JONGSERK ROBERT LEE

MODESTO, CA
NPI1861999005
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: CA  17556)
Enumeration Date2018-04-12
Last Update Date2023-09-25
Business Address
JONGSERK ROBERT LEE DO, MS
4601 DALE RD
MODESTO, CA 95356-9718
Phone number: 209-735-5000
Mailing Address
JONGSERK ROBERT LEE DO, MS
1000 W CARSON ST # 432
TORRANCE, CA 90502-2059
Phone number: 424-306-6520
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