Individual
ALESSANDRA MARIA-RENE CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
10510 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-5036
(253) 789-7030
Mailing address
10510 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-5036
(253) 789-7030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
27965
AK
163WC0400X
Case Management Registered Nurse
Primary
RN00170844
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH0150
—
AK
Enumeration date
01/12/2010
Last updated
04/09/2014
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