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Individual

JENNY Y JUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7899
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7899

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024779
NY
225X00000X
Occupational Therapist
OT22893
CA

Other

Enumeration date
08/28/2023
Last updated
01/09/2024
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