Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Jung EA Chun | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States | [sources] | |||
First name | Jung | [sources] | |||
Last name | Chun | [sources] | |||
Middle name | EA | [sources] | |||
Registration number | 724376 | [sources] | |||
Sector | Registered Nurse | [sources] | |||
Address | 1346 Ballista Avenue, La Puente, CA, 91744 | [sources] | |||
Last change | Last processed | First seen |
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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