Individual
JIN HONG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8000
(540) 536-7780
Mailing address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8000
(540) 536-7780
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024173098
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
AC002924
MD
Other
Enumeration date
12/03/2015
Last updated
02/19/2020
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