Carolyn Marie Park

NPI #1861291122 in Ashville, Ohio

Provider Information

NPI Number: 1861291122
Entity Type: Individual
Name: Carolyn Marie Park
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Enumeration Date: Mar 10, 2025
Last Updated: Mar 10, 2025

Practice Location

Address: 5438 STATE ROUTE 752
City: Ashville
State: Ohio
ZIP Code: 43103-9464
Phone: (740) 412-4383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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