Individual provider · Type 1 NPI
Jennifer Park
Customized Equipment (DME) · Camarillo, CA
NPI number
1033757455
Active
Practice location
1840 Ventura Blvd
Camarillo, CA 93010-7848
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
About NPI 1033757455
Jennifer Park's National Provider Identifier is 1033757455, issued on Dec 16, 2019. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Camarillo, CA. The record was last updated on Dec 16, 2019.