Individual
DIANA HOLLINGSHEAD-PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 TIM BELL RD, WATERFORD, CA 95386
(209) 401-3316
(877) 638-7752
Mailing address
421 TIM BELL RD, WATERFORD, CA 95386
(209) 401-3316
(877) 638-7752
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
309047
CA
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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