Individual
ANTHONY DALE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 FRAZIER ST, GRANT TOWN, WV 26574
(304) 278-2629
Mailing address
112 FRAZIER ST, GRANT TOWN, WV 26574
(304) 278-2629
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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