Individual
ALEXIS MARIE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7360 LEONARD ST NE, ADA, MI 49301-9595
(616) 821-2993
Mailing address
7360 LEONARD ST NE, ADA, MI 49301-9595
(616) 821-2993
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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