Individual
HAESIN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
942 S 293RD ST, FEDERAL WAY, WA 98003-3711
(253) 347-8290
Mailing address
942 S 293RD ST, FEDERAL WAY, WA 98003-3711
(253) 347-8290
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
752555
WA
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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