NPI 1104054766
Luica J Park
Practice location
- Address
- Unit 15244 Box 99, Apo, AP 96205-5244
- Phone
- (315) 737-5430
- Fax
- (315) 737-7021
Registered specialties
Registered Nurse
Primary
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.