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PATRICIA L PARKS
Personal Care Attendant >> Technician >> Nursing Service Related ProvidersRegistrant NPI Number: 1205431459
Individual Registrant: PATRICIA L PARKS
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
3410 MONFORT RD SPENCERVILLE, OH 45887-9706 US
Tel: 567-259-7628 Fax: --
Tel: 567-259-7628 Fax: --
Contact information for business:
3410 MONFORT RD SPENCERVILLE, OH 45887-9706 US
Tel: 567-259-7628 Fax: --
Tel: 567-259-7628 Fax: --
Registration Information:
NPI: 1205431459
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 3747P1801X | Nursing Service Related Providers Technician Personal Care Attendant |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
