Individual
DR. JENA MARIE JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
45330 ABELL HOUSE LN, CALIFORNIA, MD 20619-3203
(301) 863-6080
Mailing address
45330 ABELL HOUSE LN, CALIFORNIA, MD 20619-3203
(301) 863-6080
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001492
VA
152W00000X
Optometrist
Primary
TA2155
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TA2155
MARYLAND OPTOMETRY LICENSE
MD
Enumeration date
02/14/2007
Last updated
11/21/2022
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