Individual
DEMETRIA RENA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 E HARRISON ST, JEFFERSON, TX 75657-1106
(903) 742-3005
Mailing address
506 E HARRISON ST, JEFFERSON, TX 75657-1106
(903) 742-3005
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA00736274
TX
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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