Individual
HEATHER PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5454 KENDAVILLE RD, LAKEVIEW, MI 48850-9555
(989) 818-1140
Mailing address
5454 KENDAVILLE RD, LAKEVIEW, MI 48850-9555
(989) 818-1140
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703111276
MI
Other
Enumeration date
07/04/2016
Last updated
07/04/2016
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