DEIDRA G PARKS

HACKENSACK, NJ
NPI1417241639
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251K00000X Public Health or Welfare
Enumeration Date2011-06-06
Last Update Date2011-06-06
Business Address
-- DEIDRA G PARKS cpnp
125 ESSEX ST
HACKENSACK, NJ 07601-4027
Phone number: 201-646-2756
Mailing Address
-- DEIDRA G PARKS cpnp
105 WHITE POND RD
WALDWICK, NJ 07463-1349
Phone number: 201-447-0548