Individual
DANIEL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2410 JEFFERSON AVE, POINT PLEASANT, WV 25550-1528
(304) 675-7400
Mailing address
37 CARL DR, EVANS, WV 25241-8075
(304) 205-2949
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9602112
FL
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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