Individual
DEBORAH JEANETTE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10096 PAGE AVE, SAINT LOUIS, MO 63132-1433
(314) 494-6362
Mailing address
5346 MAPLE AVE, SAINT LOUIS, MO 63112-3308
(314) 494-6362
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
085168
MO
Other
Enumeration date
04/03/2016
Last updated
04/03/2016
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