LUICA J PARK

APO, AP
NPI1104054766
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: HI  42139)
Enumeration Date2009-06-22
Last Update Date2009-06-22
Business Address
-- LUICA J PARK
UNIT 15244 BOX 99
APO, AP 96205-5244
Phone number: 315-737-5430
Mailing Address
-- LUICA J PARK
UNIT 15244 BOX 99
APO, AP 96205-5244
Phone number: 315-737-5430
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