Individual
MARK DONALD JUNGLING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
12121 JEFFERSON AVE, NEWPORT NEWS, VA 23602-6916
(757) 746-2002
Mailing address
9105 MANORWOOD WAY, TOANO, VA 23168-8936
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204910
VA
Other
Enumeration date
03/07/2006
Last updated
07/08/2007
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