Individual
JENESE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
29339 FAIRFIELD DR # 0, WARREN, MI 48088-3686
(313) 739-0916
Mailing address
29339 FAIRFIELD DR # 0, WARREN, MI 48088-3686
(313) 739-0916
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704340542
MI
Other
Enumeration date
06/03/2015
Last updated
09/28/2024
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