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Individual

RONALD PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
499 SIERRA VISTA DR APT 6, LAS VEGAS, NV 89169-2754
(770) 778-7598
Mailing address
499 SIERRA VISTA DR APT 6, LAS VEGAS, NV 89169-2754
(770) 778-7598

Taxonomy

Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
247488
FL

Other

Enumeration date
08/09/2019
Last updated
08/09/2019
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