Individual
IAVANA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
74 WESTERN DR, HOWELL, NJ 07731-2736
(848) 459-9817
Mailing address
74 WESTERN DR, HOWELL, NJ 07731-2736
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00217400
NJ
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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