Individual
GARY DEVALLEN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 BELL AVE, ELYRIA, OH 44035-3102
(440) 323-4658
Mailing address
116 BELL AVE, ELYRIA, OH 44035-3102
(440) 323-4658
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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