Individual
SHERISE LUCINDA PARCHMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
4910 N. 32ND ST., TAMPA, FL 33610
(813) 526-4392
Mailing address
4910 N. 32ND ST., TAMPA, FL 33610
(813) 526-4392
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
201131
FL
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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