JEE SON PARK

FAIRFAX, VA
NPI1639840788
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024182788)
Enumeration Date2021-09-27
Last Update Date2021-09-27
Business Address
JEE SON PARK PMHNP-BC
3554 CHAIN BRIDGE RD STE 200
FAIRFAX, VA 22030-2709
Phone number: 703-896-7628
Mailing Address
JEE SON PARK PMHNP-BC
154 TROUT LILY DR
LAKE FREDERICK, VA 22630-1909
Phone number: 703-628-2248
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