Individual
BETTY C JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
144 FARNHAM AVE, NEW HAVEN, CT 06515-1202
(203) 392-6950
Mailing address
144 FARNHAM AVE, NEW HAVEN, CT 06515-1202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R45350
CT
Other
Enumeration date
03/02/2012
Last updated
05/14/2012
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