Individual
JAMIE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8885 RIO SAN DIEGO DR STE 340, SAN DIEGO, CA 92108-1669
(619) 795-9925
Mailing address
2102 ARNOLD WAY, FULLERTON, CA 92833-5766
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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