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Ellen Park
NPI 1821327826 · on the registry since 2009 · sole proprietor
Practice
- Address
- 14119 Deerbrook Ln
Chino Hills, CA 91709 - Phone
- (909) 628-9904
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-12-22
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 California