Individual
ALISHA VICTORIALEE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
12815 CANYON RD E, SUITE K, PUYALLUP, WA 98373-5786
(253) 226-3847
(253) 268-2057
Mailing address
12815 CANYON RD E, SUITE K, PUYALLUP, WA 98373-5786
(253) 226-3847
(253) 268-2057
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60230422
WA
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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