Individual
MS. SHANNA KAY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 W BASELINE RD APT 1049, MESA, AZ 85210-9504
(480) 719-0618
Mailing address
1055 W BASELINE RD APT 1049, MESA, AZ 85210-9504
(480) 719-0618
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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