Individual
BRENDA DIANA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 LONGNECK RD, STOUT, OH 45684
(937) 549-2210
Mailing address
1260 LONG LICK RD, STOUT, OH 45684
(937) 549-2210
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
372791500393
OH
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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