Individual
GLENDA PRITCHARD PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3683 S FIRST ST, JENA, LA 71342
(318) 992-2263
(318) 992-2267
Mailing address
3683 S FIRST ST, JENA, LA 71342-6409
(318) 594-2033
(318) 992-2267
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600723489
—
LA
Enumeration date
11/09/2016
Last updated
01/04/2019
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