Individual
DANIELLE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 GRINNELL RD, BROCKTON, MA 02302
(774) 444-5202
Mailing address
23 GRINNELL RD, BROCKTON, MA 02302-4434
(774) 444-5202
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S20338075
MA
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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