Individual
KI CHAE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC. DAOM.
Contact information
Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100
Mailing address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 12934
CA
Other
Enumeration date
05/04/2011
Last updated
04/25/2025
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