Individual
MR. JUNE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
5550 STERRETT PL STE 303, COLUMBIA, MD 21044-2643
(410) 997-0390
Mailing address
7758 MAYFAIR CIR # B, ELLICOTT CITY, MD 21043-6970
(443) 360-2766
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02390
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166298
NATIONAL CERTIFICATION COMMISSION FOR ACUPUNCTURE AND ORIENTAL MEDICINE
—
Enumeration date
10/24/2018
Last updated
01/27/2019
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