Individual
JALISA RITA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDENTAL ASSISTANT
Contact information
Practice address
2021 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7007
(202) 621-9260
Mailing address
1811 GAINESVILLE ST SE APT F, WASHINGTON, DC 20020-3277
(202) 352-8266
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
DENA000901
DC
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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