Organization
LEO WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUN PARK DC (CHIROPRACTOR)
(908) 578-9375
Entity
Organization
Contact information
Practice address
37 BROOK AVE FL 2, MAYWOOD, NJ 07607-1130
(908) 578-9375
Mailing address
261 7TH STREET, UNIT B, PALISADES PARK, NJ 07650
(908) 578-9375
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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