J & T Park Enterprises, Ltd.

NPI #1457614612 in Pottsboro, Texas

Provider Information

NPI Number
1457614612
Entity Type
Organization
Organization Name
J & T Park Enterprises, Ltd.
Primary Specialty
Dietitian, Registered
Enumeration Date
Jun 21, 2012
Last Updated
Aug 13, 2012

Practice Location

Address
788 COOKS CORNER RD
State
Texas
ZIP Code
75076-6042
Phone
(806) 341-8883

Authorized Official

Name
MRS. VICTORIA CUCCIA PARK, R.D. L.D.
Title
REGISTERED DIETITIAN
Phone
(806) 341-8883

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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