Mr. Mathew Park
Mr. Mathew Park is a Student in an Organized Health Care Education/Training Program in Alameda, California. Practices as a sole proprietor. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
73 Applegate WayAlameda, CA 94502-7714
Phone: (510) 205-7000
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1245563378 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 8, 2009 |
| Last updated in NPPES | September 8, 2009 |
| Mailing address | 73 Applegate Way, Alameda, CA 94502-7714 |
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