Individual
CHAEY KIM PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
411 S 328TH PL, FEDERAL WAY, WA 98003-7312
(253) 722-8745
Mailing address
411 S 328TH PL, FEDERAL WAY, WA 98003-7312
(253) 722-8745
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61575947
WA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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