Individual
GREGORY EUGENE PARKS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
308 EAST SAN JACINTO AVENUE, PERRIS, CA 92570
(951) 943-1130
Mailing address
308 E SAN JACINTO AVE, PERRIS, CA 92570-2878
(951) 943-1130
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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