Individual
DR. JANE LEE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 PASTEUR DRIVE, BOSWELL BUILDING, ROOM A085, STANFORD, CA 94305-5208
(650) 723-8295
Mailing address
18721 NEWSOM AVE, CUPERTINO, CA 95014-3854
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
A91824
CA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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