Individual
HAE-NA CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 222-3367
Mailing address
2801 VIRGINIA ST NE, ALBUQUERQUE, NM 87110-3749
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
55176
NM
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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