Individual
JUSTIN SUNG JUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15100 SE 38TH ST, BELLEVUE, WA 98006-1728
(425) 746-4028
Mailing address
117 18TH AVE APT 213, SEATTLE, WA 98122-5761
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61031622
WA
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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