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Kwangme Park
NPI 1437731916 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3138 Laura Ln
Westlake, OH 44145 - Phone
- (216) 544-1715
- Organisation at this address
- Full Life Mobile Therapy Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio