Individual
NEENEE VONG PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
16288 CEDAR WAY ST, ROMULUS, MI 48174-3006
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704289278
MI
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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