Individual provider · Type 1 NPI

Susie Park

Student in an Organized Health Care Education/Training Program · Washington, DC

NPI number 1972245132 Active

Practice location

2150 Pennsylvania Ave NW
Washington, DC 20037-3201

Mailing address

26835 Waller Ln
Princess Anne, MD 21853-3527

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972245132

Susie Park's National Provider Identifier is 1972245132, issued on Apr 8, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Washington, DC. The record was last updated on Apr 10, 2022.