LAWRENCE DAVID PARK

FRESNO, CA
NPI1497455869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-03-06
Last Update Date2023-04-24
Business Address
Mr. LAWRENCE DAVID PARK RADT R1503770423
3707 E SHIELDS AVE
FRESNO, CA 93726-7029
Phone number: 559-229-9040
Mailing Address
Mr. LAWRENCE DAVID PARK RADT R1503770423
3707 E SHIELDS AVE
FRESNO, CA 93726-7029
Phone number: 559-229-9040