KWANGJA PARK

BAYSIDE, NY
NPI1548683691
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: NY  578436)
Enumeration Date2014-01-27
Last Update Date2014-01-27
Business Address
-- KWANGJA PARK
4612 204TH ST
BAYSIDE, NY 11361-3139
Phone number: 646-823-4472
Mailing Address
-- KWANGJA PARK
4612 204TH ST
BAYSIDE, NY 11361-3139
Phone number: 646-823-4472
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