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Individual

JOEY JACE CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2900 S 70TH STREET, SUITE # 450, LINCOLN, NE 68506-3796
(402) 489-4186
(402) 489-5279
Mailing address
2900 S 70TH STREET, SUITE # 450, LINCOLN, NE 68506-3796
(402) 489-4186
(402) 489-5279

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
77860
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
101638
NE

Other

Enumeration date
03/02/2021
Last updated
05/18/2021
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