Park, Debora Lynn

Park, Debora Lynn is an individual health care provider with primary practice located at 6135 King Road Suite A, Loomis CA 95650-8877. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as her primary health care specialty. Park, Debora Lynn can be contacted via phone (916) 652-0427.

Contact Information

Primary practice address
6135 King Road Suite A Loomis CA 95650-8877
Fax: (916) 652-4197
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X RHP72501 California

Profile Details

NPI number 1538179619
LBN Legal business name Park, Debora Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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