Individual
JEONGWI AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 ALPHA COMMONS DR, BALTIMORE, MD 21224-1750
(410) 550-6337
Mailing address
2603 PUTTY HILL AVE APT E, PARKVILLE, MD 21234-4329
(681) 285-1862
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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