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Individual
ELIZABETH ANN PARKER
Active
Individual
ELIZABETH ANN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX4097
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DX4097
STATE LICENSE
MD
Enumeration date
06/26/2018
Last updated
10/09/2018
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