Individual
MS. TARA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
169 LIBBY ST, HAMPTON, VA 23663-2329
(757) 751-9713
Mailing address
169 LIBBY ST, HAMPTON, VA 23663-2329
(757) 751-9713
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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