Individual
MRS. THERESA MARIE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
8949 UNIVERSITY AVE NE, BLAINE, MN 55434-8000
(763) 786-6820
(763) 786-3276
Mailing address
8949 UNIVERSITY AVE NE, BLAINE, MN 55434-8000
(763) 786-6820
(763) 786-3276
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115345
MN
Other
Enumeration date
04/07/2012
Last updated
04/07/2012
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