Diana Park

NPI #1942734124 in Marina, California

Provider Information

NPI Number: 1942734124
Entity Type: Individual
Name: Diana Park
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Apr 14, 2017
Last Updated: Apr 14, 2017

Practice Location

Address: 268 RESERVATION RD
City: Marina
State: California
ZIP Code: 93933-3178
Phone: (831) 384-1605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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