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Individual

WOOKEUN JEONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3459 SAINT JOHNS LN STE 2, ELLICOTT CITY, MD 21042-4025
(410) 461-5695
(410) 461-5496
Mailing address
3459 SAINT JOHNS LN STE 2, ELLICOTT CITY, MD 21042-4025
(410) 461-5695
(410) 461-5496

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104556916
VA
111N00000X
Chiropractor
3455
NC
111N00000X
Chiropractor
Primary
S03677
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08703
BCBS
Enumeration date
08/30/2006
Last updated
07/03/2012
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