NPI | 1982274338 |
---|---|
Former Name | JENNIFER LEE DUONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 0000) |
Enumeration Date | 2021-06-28 |
Last Update Date | 2021-06-28 |