Individual
DR. JENNIFER CHUANG DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 N HIGHWAY 190 STE C2, COVINGTON, LA 70433-5057
(985) 773-1500
Mailing address
301 N HIGHWAY 190 STE C2, COVINGTON, LA 70433-5057
(985) 773-1500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A99371
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD.206050
LA
2085R0202X
Diagnostic Radiology Physician
MD60221755
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015478
—
WA
01
—
285026
L&I
WA
Enumeration date
02/12/2010
Last updated
06/10/2020
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