Individual
DEREK HWAN CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT 42343
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT42343
CA
Other
Enumeration date
09/14/2022
Last updated
12/20/2024
Update your record
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