SE Jong Park, CST AS-C

NPI #1962671545 in Portland, Maine

Provider Information

NPI Number
1962671545
Entity Type
Individual
Name
SE Jong Park, CST AS-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist, Other - Surgical Assistant
Credential
CST AS-C
Enumeration Date
Feb 27, 2008
Last Updated
Feb 27, 2008

Practice Location

Address
51 ILLSLEY ST
State
Maine
ZIP Code
04103-5110
Phone
(207) 756-3621

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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