Individual
JI YOUNG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
118 BROAD AVE # 10, PALISADES PARK, NJ 07650-2717
(201) 313-1122
Mailing address
118 BROAD AVE # 10, PALISADES PARK, NJ 07650-2717
(201) 313-1122
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00158300
NJ
171100000X
Acupuncturist
AC18841
CA
Other
Enumeration date
09/10/2020
Last updated
03/28/2022
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