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Individual

MS. PENNY LEA PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2221 MARTIN LUTHER KING JR WAY, OAKLAND, CA 94612-1318
(510) 599-5001
Mailing address
601 4TH ST, SUITE 308, SAN FRANCISCO, CA 94107-1635
(510) 599-5001

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
283865
CA

Other

Enumeration date
07/03/2006
Last updated
07/08/2007
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