Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 32770 | CA |
N | 111N00000X | Chiropractor | 5582 | OR |
Y | 111NN1001X | Nutrition | CH60629983 | WA |
NPI | 1144650862 |
---|---|
Provider Name | Ainsley Laurel Parks |
First Address | Silverdale, WA 98383-1121 |
Second Address | Silverdale, WA 98383-8556 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2013 |
Last Update Date | 27/04/2016 |