JEA YOUNG PARK

DERBY, CT
NPI1831752864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-16
Last Update Date2019-04-16
Business Address
JEA YOUNG PARK
130 DIVISION ST
DERBY, CT 06418-1326
Phone number: 203-732-7327
Mailing Address
JEA YOUNG PARK
130 DIVISION ST
DERBY, CT 06418-1326
Phone number: 203-732-7327