Individual
MARQUITA AQUILLA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3717 E LEE ST, GREENSBORO, NC 27406-9025
(336) 358-7700
Mailing address
3717 E LEE ST, GREENSBORO, NC 27406-9025
(336) 358-7700
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
342710
LA
2255A2300X
Athletic Trainer
LAT-5853
NC
Other
Enumeration date
06/08/2022
Last updated
06/21/2024
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