Individual
JUNG YOEN SON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2274 GOLFVIEW DR, APT 202, TROY, MI 48084-3848
(734) 717-3343
Mailing address
2274 GOLFVIEW DR, APT 202, TROY, MI 48084-3848
(734) 717-3343
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704265166
MI
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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