Individual
SOONGIL SHANNEN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
10320B BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-2128
(301) 795-5888
Mailing address
10320B BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-2128
(301) 795-5888
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02313
MD
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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