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Individual
MS. MADELINE ROSE PARKER
Active
Individual
MS. MADELINE ROSE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
PA66521
CA
363A00000X
Physician Assistant
Primary
PA66521
CA
Other
Enumeration date
08/18/2023
Last updated
04/20/2026
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