Individual
JESSICA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1147 HARTNELL AVE, REDDING, CA 96002-2113
(530) 222-7213
Mailing address
1147 HARTNELL AVE, REDDING, CA 96002-2113
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
727932
CA
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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