Individual
BARBARA PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1057 S. ROMNEY DR., WALNUT, CA 91789
(909) 594-8846
Mailing address
1057 S. ROMNEY DR., WALNUT, CA 91789
(909) 594-8846
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10954T
CA
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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