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JACKLYN JUNG
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1053081620
Individual Registrant: JACKLYN JUNG
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1441 SANTA ANITA AVE SOUTH EL MONTE, CA 91733-3311 US
Tel: 213-309-3388 Fax: --
Tel: 213-309-3388 Fax: --
Contact information for business:
401 W LINCOLN AVE MONTEBELLO, CA 90640-3524 US
Tel: 213-309-3388 Fax: --
Tel: 213-309-3388 Fax: --
Registration Information:
NPI: 1053081620
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program | CA | C228102 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
