Minjae Park
Minjae Park is a Student in an Organized Health Care Education/Training Program in Fort Gordon, Georgia. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
Fort Gordon, GANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1649036104 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 22, 2024 |
| Last updated in NPPES | February 22, 2024 |
| Certification date | February 20, 2024 |
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