Individual
KATHERINE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4750
Mailing address
1788 N PIERCE ST APT 2111, ARLINGTON, VA 22209-2547
(201) 407-5700
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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