Individual
DIANE ALLEGRA PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
35 APACHE TRL, FORT MITCHELL, AL 36856-5579
(915) 252-6806
Mailing address
35 APACHE TRL, FORT MITCHELL, AL 36856-5579
(915) 252-6806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
928752
TX
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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