Individual
JANETTE LORENZA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 COLISEUM XING # 188, HAMPTON, VA 23666-5971
(757) 751-7832
Mailing address
110 COLISEUM XING # 188, HAMPTON, VA 23666-5971
(757) 751-7832
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002080574
VA
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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