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Individual

ANTRINET R PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 509-8200
(951) 358-6622
Mailing address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 509-8200
(951) 358-6622

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN291148
CA

Other

Enumeration date
01/10/2018
Last updated
01/10/2018
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