Individual
EUNICE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6771 BEACH BLVD STE B, BUENA PARK, CA 90621-3470
(213) 925-4754
Mailing address
6771 BEACH BLVD STE B, BUENA PARK, CA 90621-3470
(213) 925-4754
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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