Lee, Jae Jeong Gloria

Lee, Jae Jeong Gloria is an individual health care provider with primary practice located at 136A W Main Rd , Middletown RI 02842-4937. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Other Service Providers / Acupuncturist. Other Service Providers / Acupuncturist is her primary health care specialty. Lee, Jae Jeong Gloria can be contacted via phone (401) 862-4894.

Contact Information

Primary practice address
136A W Main Rd Middletown RI 02842-4937
Phone: (401) 862-4894
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Other Service Providers / Acupuncturist 171100000X DA00468 Rhode Island

Profile Details

NPI number 1689288649
LBN Legal business name Lee, Jae Jeong Gloria
Credentials DAOM
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2020
Last updated Sep 7th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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