Individual
JAEYOUN HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3201 W SANER AVE, DALLAS, TX 75233-1430
(214) 331-0567
(214) 337-7779
Mailing address
3201 W SANER AVE, DALLAS, TX 75233-1430
(214) 331-0567
(214) 337-7779
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP127088
TX
Other
Enumeration date
01/17/2015
Last updated
07/21/2022
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