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Individual

REGINA FELICIA PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPT1

Contact information

Practice address
15000 7TH ST STE 212D, VICTORVILLE, CA 92395-3852
(626) 788-1230
Mailing address
10770 JOSHUA ST, ADELANTO, CA 92301-4124
(760) 623-5535
(800) 708-1108

Taxonomy

Speciality
Code
Description
License number
State
246R00000X
Pathology Technician
Primary
CPT00069348
CA
246RP1900X
Phlebotomy Technician
CPT00069348
CA

Other

Enumeration date
05/11/2021
Last updated
03/02/2022
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