Individual
JAEUN MOON KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 FOUCHER ST, NEW ORLEANS, LA 70115-3515
(504) 897-8418
(504) 897-8762
Mailing address
8008 DARK VALLEY CV, AUSTIN, TX 78737-3520
(512) 301-4206
(512) 301-4206
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD.05121R
LA
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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