Individual
INGRID ANN CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8726 NW 82ND ST, TAMARAC, FL 33321-1612
(954) 805-7374
Mailing address
8726 NW 82ND ST, TAMARAC, FL 33321-1612
(954) 805-7374
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN5221510
FL
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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