Mychaela Marie Parker

NPI #1649717471 in Kuna, Idaho

Provider Information

NPI Number: 1649717471
Entity Type: Individual
Name: Mychaela Marie Parker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 31, 2017
Last Updated: Jan 31, 2017

Practice Location

Address: 578 E RIDGESTONE DR
City: Kuna
State: Idaho
ZIP Code: 83634-3457
Phone: (208) 340-1288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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