Individual
CAELIA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 TULA TRL, LEANDER, TX 78641-3247
(704) 280-0456
Mailing address
320 TULA TRL, LEANDER, TX 78641-3247
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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