SO MYUNG PARK

ALBUQUERQUE, NM
NPI1659951788
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-13
Last Update Date2021-04-15
Business Address
SO MYUNG PARK DO
1 UNIVERSITY OF NEW MEXICO MSC10 5550
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-6331
Mailing Address
SO MYUNG PARK DO
2705 BURGUNDY TRL
ROWLETT, TX 75088-6727
Phone number: 214-830-9023