Individual
MRS. SUNNY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 SPLITLEAF CT, SAVANNAH, GA 31419-9656
(808) 725-4996
Mailing address
13 SPLITLEAF CT, SAVANNAH, GA 31419-9656
(808) 725-4996
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
65602
HI
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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