NPI 1316593940

Ronald Parker

Practitioner Prevention Professional Las Vegas, NV

Practice location

Address: 499 Sierra Vista Dr APT 6, Las Vegas, NV 89169-2754
Phone: (770) 778-7598

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 247488 (FL)

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Registry record

NPI: 1316593940
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2019
Record last updated: 9 Aug 2019

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.