Individual
CRYSTAL MARIE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
5555 OCEAN VISTA LN, EUREKA, CA 95503-6961
(707) 502-1389
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
274957
CA
Other
Enumeration date
12/23/2011
Last updated
09/12/2013
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