Individual
DANIELLE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1960 N HOLY NAMES CT FL 3, SPOKANE, WA 99224-5803
(509) 242-2308
Mailing address
9324 E MARINGO DR, SPOKANE, WA 99206-4427
(208) 691-0395
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
WA
Enumeration date
11/29/2018
Last updated
11/29/2018
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