NICHOLAS DWAYNE PARKER

BIXBY, OK
NPI1427608330
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2019-09-13
Last Update Date2019-09-13
Business Address
NICHOLAS DWAYNE PARKER
10306 E 114TH PL S
BIXBY, OK 74008-3205
Phone number: 918-698-6425
Mailing Address
NICHOLAS DWAYNE PARKER
47 N BAY LN
ARDMORE, OK 73401-6592
Phone number: 918-698-6425