Individual
YVETTE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4501 BADER AVE, CLEVELAND, OH 44109-5239
(216) 925-8058
Mailing address
4501 BADER AVE, CLEVELAND, OH 44109-5239
(216) 925-8058
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
2929808
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2929808
—
OH
Enumeration date
05/09/2014
Last updated
05/09/2014
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