Individual
MS. JESSICA M. PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-3795
Mailing address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 726-6225
(661) 449-3019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
21012
CA
363A00000X
Physician Assistant
2458
MA
Other
Enumeration date
05/14/2008
Last updated
01/22/2024
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