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DOMONIQUE PARKES MD

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1811526742

Individual Registrant:
 DOMONIQUE  PARKES MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
17 DEEP POWDER CT  WOODSTOCK, MD 21163-1110 US
Tel: 443-928-4360  Fax: --

Contact information for business:
17 DEEP POWDER CT  WOODSTOCK, MD 21163-1110 US
Tel: --  Fax: --

Registration Information:
NPI: 1811526742
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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