Shantise Parker
NPI #1881458792 in Maplewood, New Jersey
Provider Information
- NPI Number
- 1881458792
- Entity Type
- Individual
- Name
- Shantise Parker
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Feb 12, 2024
- Last Updated
- Feb 12, 2024
Practice Location
- Address
- 2040 MILLBURN AVE STE 305
- City
- Maplewood
- State
- New Jersey
- ZIP Code
- 07040-3716
- Phone
- (973) 901-3640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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