Individual
ELIJAH ZACHERY PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2406 MOROCCO AVE, NORTH LAS VEGAS, NV 89031-0945
(702) 845-1262
Mailing address
2406 MOROCCO AVE, NORTH LAS VEGAS, NV 89031-0945
(702) 845-1262
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
08/26/2020
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