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

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200XNone 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.