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Shanequa Janae Parker, Student

Specialist/Technologist, Athletic Trainer in Richmond, IN. Individual provider (NPI-1).

NPI number1447784335
StatusActive
Last updated in NPPESJun 20, 2018

Details

NPI
1447784335
Entity type
Individual (NPI-1)
Name
Shanequa Janae Parker
Credential
Student
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 18, 2017
Last updated
Jun 20, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

801 National Rd W
Richmond, IN 47374

Phone 765-200-8000

Mailing address

801 National Rd W
Richmond, IN 47374-4021

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