Shane Oliver Chung, SFIDC Valid NPI

Individual provider · Independent Duty Corpsman · Norfolk, VA

NPI

1336377688

Type

Individual (Type 1)

Primary specialty

Independent Duty Corpsman (Military Health Care Provider)

Specialty group

Other Service Providers

Taxonomy code

1710I1002X

Sex

Male

Sole proprietor

No

Enumerated

2009-06-25

Last updated

2009-06-25