Organization
JENNIFER PARKS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L PARKS L.AC. M.AC.O,M. (OWNER/MANAGER)
(520) 881-0827
Entity
Organization
Contact information
Practice address
4500 E SPEEDWAY BLVD, SUITE 80, TUCSON, AZ 85712
(520) 881-0827
Mailing address
4500 E SPEEDWAY BLVD, SUITE 80, TUCSON, AZ 85712
(520) 881-0827
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0810
AZ
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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