Individual
SOON SIK PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3344 SAINT JOHNS LN, ELLICOTT CITY, MD 21042-2601
(301) 814-1211
(240) 720-4900
Mailing address
3344 SAINT JOHNS LN, ELLICOTT CITY, MD 21042-2601
(301) 814-1211
(240) 720-4900
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02475
MD
Other
Enumeration date
01/20/2019
Last updated
08/03/2020
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