JISUN PARK

SHORELINE, WA
NPI1114270162
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: WA  LL60299415)
Enumeration Date2012-10-15
Last Update Date2012-10-16
Business Address
MRS. JISUN PARK
816 NE 190TH ST
SHORELINE, WA 98155-2249
Phone number: 206-364-3777
Mailing Address
MRS. JISUN PARK
PO BOX 55399
SHORELINE, WA 98155-0399
Phone number: 206-364-3777
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