Search › Maine › 246ZC0007X
Se Jong Park, CST AS-C
NPI 1962671545 · on the registry since 2008 · sole proprietor
Practice
- Address
- 51 Illsley St
Portland, ME 04103 - Phone
- (207) 756-3621
- Fax
- (888) 329-6432
- Organisation at this address
- Sejongsa
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 246ZC0007X
246ZC0007X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-02-27
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 Maine