Individual
JUNG EUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 W FAYETTE ST APT 406, BALTIMORE, MD 21201-1781
(443) 812-6692
Mailing address
1061 HIGHPOINT TRL, LAUREL, MD 20707-6508
(443) 812-6692
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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