Individual
SHEVON PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 ERNSTON RD, SOUTH AMBOY, NJ 08879-2000
(732) 585-1815
Mailing address
901 ERNSTON RD, SOUTH AMBOY, NJ 08879-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR20676900
NJ
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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