NPI 1588493472

Catherine Michelle Park, FUNERALDIRECTOR

Practitioner Funeral Director Fairbanks, AK

Practice location

Address: 611 Noble St, Fairbanks, AK 99701-4944
Phone: (907) 482-3232
Mailing address: 1097 Tena Ave, Fairbanks, AK 99701-1422

Registered specialties

Funeral Director Primary

Other Service Providers Taxonomy 176P00000X Licence 227713 (AK)

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Registry record

NPI: 1588493472
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2024
Record last updated: 29 Jul 2024

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.