Jade Park
NPI #1053988741 in Alexandria, Louisiana
Provider Information
- NPI Number
- 1053988741
- Entity Type
- Individual
- Name
- Jade Park
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 9, 2021
- Last Updated
- Sep 12, 2024
Practice Location
- Address
- 301 4TH ST
- City
- Alexandria
- State
- Louisiana
- ZIP Code
- 71301-8411
- Phone
- (318) 441-1041
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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