MEDICARE: RAY JUNG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	372500000X	Chore Provider
2	372600000X	Adult Companion
3	374U00000X	Home Health Aide
4	376J00000X	Homemaker
5	376G00000X	Nursing Home Administrator

General Provider Information

NPI Number	:	1851125215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAY JUNG

Provider Business Mailing Address
First Line	:	1730 LEWIS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-5233
Country	:	US
Telephone Number	:	424-299-0643
Fax Number	:

Provider Business Practice Location Address
First Line	:	1730 LEWIS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-5233
Country	:	US
Telephone Number	:	424-299-0643
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2024
Last Update Date	:	08/28/2024

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Directions to “ RAY JUNG ” Practice Location

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