Individual
MISS ANALISA LORENA NICHELE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 E FERRY ST, DETROIT, MI 48202-3802
(313) 833-2970
Mailing address
39 ASH ST W, THREE OAKS, MI 49128-1203
(269) 325-9123
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
P626067546060
MI
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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