Individual
JAE MIN JUNG
Active
Individual
JAE MIN JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10018660
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
10018660
OR
367500000X
Certified Registered Nurse Anesthetist
324901
AZ
Other
Enumeration date
10/04/2021
Last updated
06/08/2026
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