Individual
HYUNSEOCK CHAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 N ORANGE ST UNIT B207, SALT LAKE CITY, UT 84116-3949
(801) 448-2069
Mailing address
30 N ORANGE ST UNIT B207, SALT LAKE CITY, UT 84116-3949
(801) 448-2069
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1012124
TX
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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