Individual
JADA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 SAINT ANTHONYS CT, STAFFORD, VA 22556-3633
(910) 674-2644
Mailing address
12 SAINT ANTHONYS CT, STAFFORD, VA 22556-3633
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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