Individual
CATHY LADORIS PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10414 WESTRIDGE DR, BOWIE, MD 20721-2937
(240) 421-3776
Mailing address
10414 WESTRIDGE DR, BOWIE, MD 20721-2937
(240) 421-3776
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
0003586869
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003586869
APPLYING FOR MEDICARE LICENSE
—
Enumeration date
10/02/2017
Last updated
10/02/2017
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