Individual
MS. SANDRA SUNGJU PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 WATERSIDE DR, LITTLE FERRY, NJ 07643-2208
(201) 741-7578
Mailing address
103 WATERSIDE DR, LITTLE FERRY, NJ 07643-2208
(201) 741-7578
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00092100
NJ
225700000X
Massage Therapist
18KT00277700
NJ
Other
Enumeration date
09/18/2012
Last updated
12/21/2021
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