SearchNew Jersey103TC0700X

Sandra Lee

NPI 1750904090 · on the registry since 2020 · sole proprietor

Practice

Address
236 Crescenzi Ct
West Orange, NJ 07052
Phone
(862) 520-5383

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103T00000X
103TA0700X
103TH0004X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey