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NPI Code Detail

MEDICARE: MS. MONICA RACHEL PARKS RN

MEDICARE: MS. MONICA RACHEL PARKS RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseY331978CA

General Provider Information

NPI Number : 1225160872
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MONICA RACHEL PARKS RN
Provider Business Mailing Address
First Line : 3422 RICHMOND ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-5125
Country : US
Telephone Number : 619-717-1922
Fax Number :
Provider Business Practice Location Address
First Line : 5202 UNIVERSITY AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92105-2268
Country : US
Telephone Number : 619-229-5419
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2007
Last Update Date : 12/08/2011

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Directions to “ MS. MONICA RACHEL PARKS RN” Practice Location

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