Individual
JENNIFER ANN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22026 20TH AVE SE STE 101, BOTHELL, WA 98021-4449
(425) 672-7293
Mailing address
22026 20TH AVE SE STE 101, BOTHELL, WA 98021-4449
(425) 672-7293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60754129
WA
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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