Individual
RACHEL SEOYOON CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C07563
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110-007297
STATE LICENSURE
VA
01
—
C07563
STATE LICENSURE
MD
Enumeration date
08/17/2020
Last updated
04/14/2021
Update your record
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