Bianca M Parker
Homemaker in Fruitland Park, FL. Individual provider (NPI-1).
NPI number1982244836
StatusActive
Last updated in NPPESJan 8, 2020
Details
- NPI
- 1982244836
- Entity type
- Individual (NPI-1)
- Name
- Bianca M Parker
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2020
- Certification date
- Jan 8, 2020
- Last updated
- Jan 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | FL | Yes |
Practice location
1111 Atlantic AveFruitland Park, FL 34731-3225
Phone 352-455-1362
Mailing address
1111 Atlantic AveFruitland Park, FL 34731-3225
Phone 352-455-1362
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