ANTANISHA L PARKS

SAINT LOUIS, MO
NPI1083556427
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2026-04-06
Last Update Date2026-04-06
Business Address
ANTANISHA L PARKS
915 N GRAND BLVD
SAINT LOUIS, MO 63106-1621
Phone number: 314-652-4100
Mailing Address
ANTANISHA L PARKS
3502 GREEN BAY RD APT 207
NORTH CHICAGO, IL 60064-3616
Phone number:
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