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Individual

MIN JEONG JEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
3500 OLD WASHINGTON RD, SUITE 101, WALDORF, MD 20602-3224
(301) 645-1133
Mailing address
3500 OLD WASHINGTON RD, SUITE 101, WALDORF, MD 20602-3224
(301) 645-1133

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R212891
MD
163W00000X
Registered Nurse
RN.401394
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
R212891
MD

Other

Enumeration date
03/14/2016
Last updated
03/14/2016
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