Jongho Park
NPI #1043857162 in San Rafael, California
Provider Information
- NPI Number
- 1043857162
- Entity Type
- Individual
- Name
- Jongho Park
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Dec 9, 2019
- Last Updated
- Dec 9, 2019
Practice Location
- Address
- 442 LAS GALLINAS AVE
- City
- San Rafael
- State
- California
- ZIP Code
- 94903-3618
- Phone
- (415) 479-9171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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