Provider Demographics
NPI:1780825257
Name:SUH, OK HEE (RN)
Entity Type:Individual
Prefix:MS
First Name:OK
Middle Name:HEE
Last Name:SUH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:OK
Other - Middle Name:HEE
Other - Last Name:JUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:34800 BOB WILSON DR
Mailing Address - Street 2:ARMY WTU, NMCSD, BUILDING 26, RM 321.4
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134
Mailing Address - Country:US
Mailing Address - Phone:619-532-5815
Mailing Address - Fax:
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:ARMY WTU, NMCSD, BUILDING 26, RM 321.4
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134
Practice Address - Country:US
Practice Address - Phone:619-532-5815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN223823L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse