Individual
PAMELA PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1716 SALEM AVE, DAYTON, OH 45406-4924
(937) 474-7104
Mailing address
1716 SALEM AVE, DAYTON, OH 45406-4924
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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