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Individual
MAISHA DAVETTE PARNELL
Active
Individual
MAISHA DAVETTE PARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
95140235
CA
363LF0000X
Family Nurse Practitioner
Primary
95029185
CA
Other
Enumeration date
08/30/2023
Last updated
05/29/2024
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