Individual
JENNIFER LARAE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9001 ARBOR ST STE 206, OMAHA, NE 68124-2066
(402) 718-6900
Mailing address
4105 N 21ST ST, OMAHA, NE 68110-1610
(531) 365-1601
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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