Johanna Park

NPI #1063853299 in Hilo, Hawaii

Provider Information

NPI Number: 1063853299
Entity Type: Individual
Name: Johanna Park
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jul 16, 2013
Last Updated: Mar 25, 2020

Practice Location

Address: 399 E KAWILI ST STE 202
City: Hilo
State: Hawaii
ZIP Code: 96720-5075
Phone: (808) 315-1432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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