Individual
CHRISTINE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 OLD SAN FRANCISCO RD, SUNNYVALE, CA 94086-6386
(408) 523-4360
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(408) 523-4360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54048
CA
Other
Enumeration date
12/19/2016
Last updated
03/04/2020
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