Individual
JACLYN JUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 ASHBY AVE, BERKELEY, CA 94705-2067
(415) 204-1498
Mailing address
5336 BORNEO CIR, SAN JOSE, CA 95123-6069
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
15508
CA
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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