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Individual

JENNIFER LYNN PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
4956 DRIFTING PEBBLE ST, NORTH LAS VEGAS, NV 89081
(704) 619-4035
Mailing address
4530 SAN MATEO ST, NORTH LAS VEGAS, NV 89031-2171
(704) 619-4035

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
48459
CA
225200000X
Physical Therapy Assistant
Primary
A-0962
NV

Other

Enumeration date
08/23/2017
Last updated
01/29/2019
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