Individual
JANET JANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-5001
(253) 968-0257
(253) 968-5294
Mailing address
9040A JACKSON AVE, JOINT BASE LEWIS-MCCHORD, WA 98432
(253) 968-0257
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
2080P0206X
Pediatric Gastroenterology Physician
Primary
31201
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
MEDICARE UPIN
—
Enumeration date
06/03/2017
Last updated
03/22/2024
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