Individual
VANESSA PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6434 VALLEYDALE DR, MEMPHIS, TN 38141-7744
(901) 652-1607
Mailing address
1120 COUNTY ROAD 710, BLUE MOUNTAIN, MS 38610-9651
(901) 652-1607
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
220005258
TN
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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