Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | D80546 | MD |
NPI | 1245528868 |
---|---|
Provider Name | Jenni Yeojin Yoon |
First Address | Silver Spring, MD 20902-5020 |
Second Address | Silver Spring, MD 20902-5020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2011 |
Last Update Date | 11/08/2016 |