Individual
MICHELE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
802 MAGNOLIA AVE STE 205, CORONA, CA 92879-3144
(951) 281-2730
Mailing address
874 AMERICAN PACIFIC DR, HENDERSON, NV 89014-8800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
09/08/2025
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