Individual
JAMIE MYUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 W 8TH ST, YUMA, AZ 85364-2863
(928) 783-6834
Mailing address
2853 WISTERIA LN, FULLERTON, CA 92833-4957
(713) 336-4123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021001
AZ
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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