Individual
ALLYSA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Mailing address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
375437
NC
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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