Jeannie Park is a student in an organized health care education training program in Sacramento, CA. The provider is 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. Jeannie Park NPI is 1730793795. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4610 X ST
SACRAMENTO, CA
ZIP 95817-200
Phone: (916) 816-1287
The NPI 1730793795 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/6/2020 and was last updated on 9/6/2020.