Individual
JASON ALLAN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3310 WEST CHERYL DRIVE, PHOENIX, AZ 85051
(602) 926-7210
(602) 291-9375
Mailing address
3310 W CHERYL DR, PHOENIX, AZ 85051-9575
(602) 926-7210
(602) 291-9375
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP047167
AZ
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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