Whalio Doctors

NPI 1104054766

Luica J Park

Practitioner Registered Nurse Apo, AP

Practice location

Address
Unit 15244 Box 99, Apo, AP 96205-5244
Phone
(315) 737-5430
Fax
(315) 737-7021

Registered specialties

Registered Nurse Primary
Nursing Service Providers Taxonomy 163W00000X Licence 42139 (HI)

Registry record

NPI
1104054766
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Jun 2009
Record last updated
22 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.