Individual
JASON FENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
940 E SUNSET PIKE DR, TERRE HAUTE, IN 47802-4574
(812) 239-1575
Mailing address
940 E SUNSET PIKE DR, TERRE HAUTE, IN 47802-4574
(812) 239-1575
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/06/2024
Last updated
07/06/2024
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