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Grace Park
Student in an Organized Health Care Education/Training Program in Visalia, California
NPI 1639707573

Grace Park is a Student in an Organized Health Care Education/Training Program based in Visalia, CA. Grace Park practices in Visalia, CA. The NPI Number for Grace Park is 1639707573 and holds a License No. (California).

The current practice location address for Grace Park is 400 W Mineral King Ave, Visalia, CA and can be reached out via phone at 559-624-2000.

Location: 400 W Mineral King Ave, Visalia, CA, 93291-6237
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639707573
Provider Name
Grace Park
Credential
Provider Entity Type
Individual
Gender
Female
Address
400 W Mineral King Ave, Visalia, CA, 93291-6237
Phone Number
559-624-2000
Fax Number
Provider Enumeration Date
03/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 W Mineral King Ave
City
Visalia
State
California
Zip
93291-6237
Phone Number
559-624-2000
Fax Number
person
Provider Business Mailing Address Details
Address
400 W Mineral King Ave
City
Visalia
State
California
Zip
93291-6237
Phone Number
559-624-2000
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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