Shantise Parker
Shantise Parker is a Prosthetic/Orthotic Supplier in Maplewood, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2040 Millburn Ave Ste 305Maplewood, NJ 07040-3716
Phone: (973) 901-3640
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Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1881458792 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 12, 2024 |
| Last updated in NPPES | February 12, 2024 |
| Certification date | February 10, 2024 |
| Mailing address | 1128 N Stiles St # A, Linden, NJ 07036-6122 |
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