Individual
JONATHAN JAESUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12101 CAROL LN STE 101, FREDERICKSBURG, VA 22407-6104
(540) 741-9033
Mailing address
12101 CAROL LN STE 101, FREDERICKSBURG, VA 22407-6104
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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