| NPI | 1982837951 |
|---|---|
| Doing Business As | JOON PARK |
| Entity Type | Organization |
| Authorized Contact | YONG JOON PARK Contractor 703-955-1041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA 2705073655A) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |