SONGKI PARK

FAIRFAX, VA
NPI1184173296
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024174042)
Enumeration Date2016-09-30
Last Update Date2016-09-30
Business Address
-- SONGKI PARK NP
8500 EXECUTIVE PARK AVE STE 202
FAIRFAX, VA 22031-2253
Phone number: 703-852-7020
Mailing Address
-- SONGKI PARK NP
8500 EXECUTIVE PARK AVE STE 202
FAIRFAX, VA 22031-2253
Phone number: 703-852-7020
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