Individual
TAMMY ANN PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2380 E NICHOLS PL, CENTENNIAL, CO 80122-3201
(719) 649-2773
Mailing address
2380 E NICHOLS PL, CENTENNIAL, CO 80122-3201
(719) 649-2773
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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