Individual
JUWON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7730 W CHEYENNE AVE STE 105, LAS VEGAS, NV 89129-8411
(702) 463-5556
Mailing address
5155 S DURANGO DR STE 101, LAS VEGAS, NV 89113-0174
(702) 463-5556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1690535
CO
163W00000X
Registered Nurse
Primary
882512
NV
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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