Individual
JOANN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 W CAMERON AVE, VISALIA, CA 93277-9527
(559) 636-9783
Mailing address
1405 W CAMERON AVE, VISALIA, CA 93277-9527
(559) 636-9783
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
72188
CA
Other
Enumeration date
07/24/2015
Last updated
03/25/2023
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