Individual
CHARISSA MAMIE JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
39675 CEDAR BLVD STE 260, NEWARK, CA 94560-5364
(510) 877-0686
Mailing address
39675 CEDAR BLVD STE 260, NEWARK, CA 94560-5364
(510) 877-0686
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6711
CA
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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