JAE Y PARK

ROCHESTER, MN
NPI1720506314
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: MN  2077426)
Enumeration Date2017-09-02
Last Update Date2017-09-02
Business Address
JAE Y PARK RN
1103 10TH ST NW
ROCHESTER, MN 55901-1756
Phone number: 507-358-9114
Mailing Address
JAE Y PARK RN
1103 10TH ST NW
ROCHESTER, MN 55901-1756
Phone number: