Jisun Park
Jisun Park is a Registered Dietitian in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2020.
- Licensed in
- WA
- In the registry since
- 2020
Practice location Address checks out
747 BroadwaySeattle, WA 98122-4379
Phone: (202) 714-2893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 86064132 (WA) |
|---|
Record details
| NPI number | 1669097572 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 16, 2020 |
| Last updated in NPPES | June 16, 2020 |
| Certification date | June 16, 2020 |
| Mailing address | 130 Ne 95th St Apt A307, Seattle, WA 98115-2056 |
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