Individual
YOUCK JEN SIU NAVARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
245 N 15TH ST # MS 413, PHILADELPHIA, PA 19102-1101
(215) 762-3585
Mailing address
245 N 15TH ST DEPT OF, PHILADELPHIA, PA 19102-1101
(215) 762-3585
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
MD471787
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT213489
PA
Other
Enumeration date
06/07/2017
Last updated
09/07/2023
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