MICAH PARK

WASHINGTON, DC
NPI1659994473
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: DC  MD210011823)
Enumeration Date2020-05-27
Last Update Date2025-07-08
Business Address
MICAH PARK MD
1100 ALABAMA AVE SE
WASHINGTON, DC 20032-4542
Phone number: 202-299-5334
Mailing Address
MICAH PARK MD
1100 ALABAMA AVE SE
WASHINGTON, DC 20032-4542
Phone number: 202-299-5334