Mi Ran Park, ACUPUNCTURIST

NPI #1366886160 in La Crescenta, California

Provider Information

NPI Number: 1366886160
Entity Type: Individual
Name: Mi Ran Park, ACUPUNCTURIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: ACUPUNCTURIST
Enumeration Date: Apr 23, 2013
Last Updated: Apr 23, 2013

Practice Location

Address: 3130 FOOTHILL BLVD
Address 2: 2
City: La Crescenta
State: California
ZIP Code: 91214-2693
Phone: (818) 249-5689

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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