Individual
DR. JESSE MIN JUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
345 BLACKSTONE BLVD, DUNCAN E-160, PROVIDENCE, RI 02906-4800
(401) 455-6375
(401) 455-6497
Mailing address
118 4TH ST, PROVIDENCE, RI 02906-2804
(347) 281-1058
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LP03181
RI
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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