Individual
JEAN S PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5031 168TH ST SW STE 150, LYNNWOOD, WA 98037-5717
(425) 835-0626
Mailing address
12303 HARBOUR POINTE BLVD UNIT EE106, MUKILTEO, WA 98275-5221
(425) 407-3662
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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