ELLEN SAE EUN PARK

BUENA PARK, CA
NPI1922559442
Former NameSAE EUN PARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: CA  95005023)
Enumeration Date2016-10-19
Last Update Date2021-04-23
Business Address
ELLEN SAE EUN PARK N.P
6900 LINCOLN AVE
BUENA PARK, CA 90620-4148
Phone number: 714-522-4009
Mailing Address
ELLEN SAE EUN PARK N.P
6900 LINCOLN AVE
BUENA PARK, CA 90620-4148
Phone number: 714-522-4009
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