Individual
JAN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1200 EL CAMINO REAL, SUITE 5020, SOUTH SAN FRANCISCO, CA 94080-3208
(650) 742-2806
Mailing address
1200 EL CAMINO REAL, SUITE 5020, SOUTH SAN FRANCISCO, CA 94080-3208
(650) 742-2806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
478933
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2573
CNS
CA
Enumeration date
06/09/2016
Last updated
06/09/2016
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