Most Relevant Information
Provider Data
| NPI Number: | 1003378639 |
| Provider Name: | JENNIFER HIEU LUONG |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/02/2019 |
| Last Updated: | 09/19/2022 |
Provider Practice Location
376 W 10TH AVE # 774
COLUMBUS
OH
432101280
Practice Location Phone/Fax
| Phone: | 6142933570 |
| Fax: |
Provider Mailing Location
376 W 10TH AVE # 774
COLUMBUS
OH
432101280
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |