Individual
SOH YOUNG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP,DOM
Contact information
Practice address
17501 N DALE MABRY HWY # D, LUTZ, FL 33548-4521
(813) 573-2756
Mailing address
4627 BURKETT CIR, TAMPA, FL 33634-6207
(813) 573-2756
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
4565
FL
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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