NPI 1013639038
Gregory Eugene Parks, CNA
Practice location
- Address
- 308 East San Jacinto Avenue, Perris, CA 92570
- Phone
- (951) 943-1130
- Mailing address
- 308 E San Jacinto Ave, Perris, CA 92570-2878
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1013639038
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Sep 2022
- Record last updated
- 15 Sep 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.