Individual
JACQUELINE JUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 SUNSHINE COTTAGE RD, VALHALLA, NY 10595-1524
(914) 594-4000
Mailing address
1364 CLIFTON RD NE BG20, ATLANTA, GA 30332-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
94862
GA
2085R0202X
Diagnostic Radiology Physician
A153590
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/03/2012
Last updated
05/30/2023
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