Individual
CLAIRE SOOEUN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
2508 TREERIDGE PKWY, ALPHARETTA, GA 30022-2841
(224) 622-7159
Mailing address
2508 TREERIDGE PKWY, ALPHARETTA, GA 30022-2841
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD006335
GA
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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