Search › New Jersey › 171100000X
Ji Young Park, L.AC
NPI 1356956080 · on the registry since 2020 · sole proprietor
Practice
- Address
- 118 Broad Ave # 10
Palisades Park, NJ 07650 - Phone
- (201) 313-1122
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 171100000X
- Licence states on file
- CA, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey