Individual
MALIA RENEE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
740 N MAIN STREET EXT, MEADVILLE, PA 16335-1149
(814) 724-3107
Mailing address
972 JACKSON CENTER POLK RD, STONEBORO, PA 16153-3120
(724) 699-2811
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN527649
PA
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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