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MR. VALENTINO ISAAC PARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1585 3RD STREET, BAYNE-JONES HOSPITAL,, FORT POLK, LA 71459-5110
(337) 531-3349
Mailing address
206 3RD ST, NEW LLANO, LA 71461-9722
(760) 267-4652

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
51419
HI
363LF0000X
Family Nurse Practitioner
Primary
62291
HI

Other

Enumeration date
05/01/2006
Last updated
10/16/2013
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