Jina Park
Licensed Practical Nurse in Tacoma, WA. Individual provider (NPI-1).
NPI number1508335209
StatusActive
Last updated in NPPESNov 26, 2018
Details
- NPI
- 1508335209
- Entity type
- Individual (NPI-1)
- Name
- Jina Park
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 26, 2018
- Last updated
- Nov 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 345112 | TX | Yes |
Practice location
9040 Jackson AveAttn: Achj-Clq-C
Tacoma, WA 98433
Phone 253-986-0982
Mailing address
9138 Mil Park108
Tacoma, WA 98433
Phone 213-663-3164
Other practice locations
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All 223 Licensed Practical Nurse providers in Tacoma · All 15,721 providers in Tacoma
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