SearchWashington122400000X

Daniel Park, L.D

NPI 1598882029 · on the registry since 2007

Practice

Address
30816 Pacific Hwy S
Federal Way, WA 98003
Phone
(253) 835-0055
Fax
(253) 835-0055

Registry record

Primary taxonomy
122400000X
122400000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

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 Washington