Individual
KEANNA ALEXANDRIA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 N ARBOR TRL APT 409, PARK FOREST, IL 60466-2679
(708) 674-6501
Mailing address
133 N ARBOR TRL APT 409, PARK FOREST, IL 60466-2679
(708) 674-6501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.478615
IL
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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