Individual
EUNICE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1703 S MERIDIAN STE 101, PUYALLUP, WA 98371-7590
(253) 848-3000
(253) 840-6514
Mailing address
1703 S MERIDIAN STE 101, PUYALLUP, WA 98371-7590
(253) 848-3000
(253) 840-6514
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1155890
WA
363AM0700X
Medical Physician Assistant
Primary
PA60920872
WA
Other
Enumeration date
11/15/2018
Last updated
07/19/2023
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