Individual
ANDY CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 843-7000
Mailing address
241 RIVERBROOK WAY, SACRAMENTO, CA 95831-1958
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
837074
CA
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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