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Individual

JENNIFER ROSE PARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
39140 CHEROKEE DR, ROMULUS, MI 48174-5025
(734) 334-3913
Mailing address
39140 CHEROKEE DR, ROMULUS, MI 48174-5025
(734) 334-3913

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
07/27/2016
Last updated
07/27/2016
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