Individual
MS. SHELIA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 BRIARWOOD ST APT 217, CLARE, MI 48617-1060
(989) 544-0305
Mailing address
304 BRIARWOOD ST APT 217, CLARE, MI 48617-1060
(989) 544-0305
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
247ZC0005X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247200000X/TECHNICIA
MICHIGAN BEHAVIOR TECH TRAINING
MI
Enumeration date
09/13/2016
Last updated
09/15/2016
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