Scott Park Valid NPI

Individual provider · Registered Nurse · Burbank, CA

NPI

1689208514

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

95067109 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2020-02-29

Last updated

2020-02-29