Individual
KRISTEN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2404 DANA ST, APT B, BERKELEY, CA 94704-2574
(408) 636-8431
Mailing address
1100 VETERANS BLVD, REDWOOD CITY, CA 94063-2037
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
236164
CA
Other
Enumeration date
02/03/2016
Last updated
05/08/2024
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