PENNY PARKER

FARGO, ND
NPI1154685444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: ND  1524-586-731)
Additional Taxonomies372600000X Adult Companion
3747A0650X Technician, Attendant Care Provider
3747P1801X Technician, Personal Care Attendant
374U00000X Home Health Aide
Enumeration Date2012-07-02
Last Update Date2014-01-16
Business Address
-- PENNY PARKER
4234 9TH AVENUE CIR S
FARGO, ND 58103-2090
Phone number: 701-429-4874
Mailing Address
-- PENNY PARKER
4234 9TH AVENUE CIR S
FARGO, ND 58103-2090
Phone number: 701-429-4874