Debora Lynn Park

NPI #1538179619 in Loomis, California

Provider Information

NPI Number: 1538179619
Entity Type: Individual
Name: Debora Lynn Park
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Radiologic Technologist
Enumeration Date: Aug 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6135 KING ROAD
Address 2: SUITE A
City: Loomis
State: California
ZIP Code: 95650-8877
Phone: (916) 652-0427

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist	247100000X	Primary

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