MS. Jaesoon Katie Cha, LPN
NPI #1275986986 in Fort Huachuca, Arizona
Provider Information
- NPI Number
- 1275986986
- Entity Type
- Individual
- Name
- MS. Jaesoon Katie Cha, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jul 18, 2016
- Last Updated
- Jul 18, 2016
Practice Location
- Address
- 716 FULLER ST
- City
- Fort Huachuca
- State
- Arizona
- ZIP Code
- 85613-1624
- Phone
- (520) 533-9113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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