Individual
SUN JA PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
2179 TULLY RD, SAN JOSE, CA 95122-1346
(408) 258-8050
(408) 258-4452
Mailing address
2179 TULLY RD, SAN JOSE, CA 95122-1346
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
26467
CA
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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