Provider Demographics
NPI:1003241753
Name:GUNG, YUMEI (LAC)
Entity Type:Individual
Prefix:MS
First Name:YUMEI
Middle Name:
Last Name:GUNG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16420 APACHE LN
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2025
Mailing Address - Country:US
Mailing Address - Phone:301-424-9581
Mailing Address - Fax:301-424-9581
Practice Address - Street 1:16420 APACHE LN
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-2025
Practice Address - Country:US
Practice Address - Phone:301-424-9581
Practice Address - Fax:301-424-9581
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02093171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist