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Jinsu Park
Student in an Organized Health Care Education/Training Program in Marina, California
NPI 1982159091

Jinsu Park is a Student in an Organized Health Care Education/Training Program based in Marina, CA. Jinsu Park practices in Marina, CA. The NPI Number for Jinsu Park is 1982159091 and holds a License No. (California).

The current practice location address for Jinsu Park is 3030 Antietam Ct, Marina, CA and can be reached out via phone at 831-917-8379.

Location: 3030 Antietam Ct, Marina, CA, 93933-4901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982159091
Provider Name
Jinsu Park
Credential
Provider Entity Type
Individual
Gender
Female
Address
3030 Antietam Ct, Marina, CA, 93933-4901
Phone Number
831-917-8379
Fax Number
Provider Enumeration Date
08/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3030 Antietam Ct
City
Marina
State
California
Zip
93933-4901
Phone Number
831-917-8379
Fax Number
person
Provider Business Mailing Address Details
Address
3030 Antietam Ct
City
Marina
State
California
Zip
93933-4901
Phone Number
831-917-8379
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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