Individual
JACQUELINE RENEE ANDERSON-PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6300 OCEAN DR UNIT 5719, CORPUS CHRISTI, TX 78412-5599
(361) 825-2035
Mailing address
6300 OCEAN DR UNIT 5719, CORPUS CHRISTI, TX 78412-5599
(361) 825-2035
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL6485
FL
Other
Enumeration date
01/05/2023
Last updated
08/14/2023
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