Park, Theresa

Park, Theresa is an sole proprietor health care provider with primary practice located at 415 E Chapel St , Santa Maria CA 93454-4517. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health, which is considered as her primary health care specialty. Park, Theresa can be contacted via phone (805) 928-5573.

Contact Information

Primary practice address
415 E Chapel St Santa Maria CA 93454-4517
Phone: (805) 928-5573
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health 364SC1501X 17824 California

Profile Details

NPI number 1255598447
LBN Legal business name Park, Theresa
Credentials RN, NP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2008
Last updated May 16th, 2008 - about 16 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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