Individual
SHANICE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6608 W MAIN ST, BELLEVILLE, IL 62223-3026
(618) 750-3851
Mailing address
1110 SAINT BARTHOLOMEW DR, CAHOKIA, IL 62206-1413
(618) 750-3851
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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