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Individual

SUKI LILLIANN PARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2401 W BELVEDERE AVE, DEPARTMENT RADIATION ONCOLOGY, MT PLEASANT, GRND, BALTIMORE, MD 21215-5216
(410) 601-5405
(410) 601-6307
Mailing address
2401 W BELVEDERE AVE, DEPARTMENT RADIATION ONCOLOGY, MT PLEASANT, GRND, BALTIMORE, MD 21215-5216
(410) 601-5405
(410) 601-6307

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002105
MD

Other

Enumeration date
02/22/2007
Last updated
01/27/2011
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