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Individual

IDA CHEUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4494 PALMER RD NORTH, BETHESDA, MD 20814
(301) 295-4000
Mailing address
4494 PALMER RD N, BETHESDA, MD 20814

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R177187
MD
163W00000X
Registered Nurse
RN635706
PA
163W00000X
Registered Nurse
RN9286296
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
R177187
MD

Other

Enumeration date
04/20/2012
Last updated
05/07/2024
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