Individual
ALICE JINYOUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9650 BASELINE RD, RANCHO CUCAMONGA, CA 91701-5035
(909) 987-3518
Mailing address
4021 W 182ND ST APT H, TORRANCE, CA 90504-4749
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
82596
CA
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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