Individual
DR. JAKE J PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9005 CHEVROLET DR, SUITE 4, ELLICOTT CITY, MD 21042-4009
(410) 465-3221
(410) 465-3514
Mailing address
9005 CHEVROLET DR, SUITE 4, ELLICOTT CITY, MD 21042-4009
(410) 465-3221
(410) 465-3514
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
02017
MD
Other
Enumeration date
03/28/2007
Last updated
02/06/2017
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