Individual
JAE HYUNG AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA, RNA
Contact information
Practice address
5800 W WILSON ST, BANNING, CA 92220-3042
(951) 845-1606
Mailing address
3681 CRANFORD AVE APT 22, RIVERSIDE, CA 92507-4536
(215) 390-4306
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
01146584
CA
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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