Individual
EDITH CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14659 TYNEWICK TER, SILVER SPRING, MD 20906-2669
(443) 365-1173
Mailing address
14659 TYNEWICK TER, SILVER SPRING, MD 20906-2669
(443) 365-1173
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA7179
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C520-174-785-517
STATE ID
MD
Enumeration date
02/25/2014
Last updated
02/25/2014
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