Individual
JESSICA PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 782-1189
Mailing address
1443 STACY DR, CANTON, MI 48188-1451
(313) 782-1189
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704410593
MI
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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