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Individual

BRIEANNA LEE JUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
700 W IRONWOOD DR STE 341, COEUR D ALENE, ID 83814-4404
(208) 625-5200
Mailing address
9702 N HAUSER LAKE RD, HAUSER, ID 83854-5528
(208) 704-2604

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary
8671366
ID

Other

Enumeration date
06/06/2025
Last updated
12/18/2025
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