Individual
JANA LAKECIA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3950 17TH ST STE A, BAKER CITY, OR 97814-1300
(541) 523-8088
(541) 523-1152
Mailing address
3950 17TH ST STE A, BAKER CITY, OR 97814-1300
(541) 523-8088
(541) 523-1152
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
109441
OR
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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