Individual
IRENE LOUISE PARENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3204 WASHINGTON AVE, RACINE, WI 53405-3037
(262) 633-8160
(262) 633-3512
Mailing address
3204 WASHINGTON AVE, RACINE, WI 53405-3037
(262) 633-8160
(262) 633-3512
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2466
WI
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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