Individual
MR. JAMES HYUNSEOK PAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 FODEN RD, SOUTH PORTLAND, ME 04106-2327
(207) 780-8860
Mailing address
20 EASTVIEW CT APT 2, BIDDEFORD, ME 04005-2818
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT893
ME
Other
Enumeration date
10/01/2019
Last updated
11/09/2022
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