Individual
SHANA RAE CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 MONUMENT RD, SUITE 300, BALA CYNWYD, PA 19004-1702
(610) 617-2400
Mailing address
150 MONUMENT RD, SUITE 300, BALA CYNWYD, PA 19004-1702
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP016530
PA
Other
Enumeration date
10/17/2016
Last updated
09/15/2022
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