Individual
COURTNEY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 MISSION BLVD, JACKSON, CA 95642-2536
(209) 257-7615
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA64465
CA
Other
Enumeration date
05/10/2024
Last updated
10/01/2024
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