Jennifer Rose Parks

NPI #1356894158 in Romulus, Michigan

Provider Information

NPI Number: 1356894158
Entity Type: Individual
Name: Jennifer Rose Parks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jul 27, 2016
Last Updated: Jul 27, 2016

Practice Location

Address: 39140 CHEROKEE DR
City: Romulus
State: Michigan
ZIP Code: 48174-5025
Phone: (734) 334-3913

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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