Individual
LINDSAY JACQUELINE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 JADE ST STE 100, CAPITOLA, CA 95010-3940
(831) 475-4024
Mailing address
PO BOX 31396, WALNUT CREEK, CA 94598-8396
(925) 939-8585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
61250
CA
Other
Enumeration date
04/15/2021
Last updated
08/19/2022
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