Individual
SEUNGSUN ELLEN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
7955 TUCKERMAN LN # 1449, ROCKVILLE, MD 20854-3243
(301) 299-3717
Mailing address
440 UNIVERSITY BLVD E APT 2-207, SILVER SPRING, MD 20901-3665
(301) 633-4484
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01426
MD
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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