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Shawn Seung Dae Park
Student in an Organized Health Care Education/Training Program in Temecula, California
NPI 1538864335

Shawn Seung Dae Park is a Student in an Organized Health Care Education/Training Program based in Temecula, CA. Shawn Seung Dae Park practices in Temecula, CA. The NPI Number for Shawn Seung Dae Park is 1538864335 and holds a License No. (California).

The current practice location address for Shawn Seung Dae Park is 32229 Cedar Crest Ct, Temecula, CA and can be reached out via phone at 714-795-9059.

Location: 32229 Cedar Crest Ct, Temecula, CA, 92592-4160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538864335
Provider Name
Shawn Seung Dae Park
Credential
Provider Entity Type
Individual
Gender
Male
Address
32229 Cedar Crest Ct, Temecula, CA, 92592-4160
Phone Number
714-795-9059
Fax Number
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
32229 Cedar Crest Ct
City
Temecula
State
California
Zip
92592-4160
Phone Number
714-795-9059
Fax Number
person
Provider Business Mailing Address Details
Address
32229 Cedar Crest Ct
City
Temecula
State
California
Zip
92592-4160
Phone Number
714-795-9059
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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