Individual
EUN YOUNG PARK-STAUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-2000
Mailing address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-2000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15422
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/10/2012
Last updated
01/24/2023
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