| Doctor Name: | MR. CEDRIC BERTRAND PARKER |
| NPI Number: | 1366566994 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.N |
| License Number: | 4704222301 |
| Business Practice Address: | 6040 Edmund St Romulus, MI - 481744449 |
| Business Phone Number: | 3130067473 |
| Business Fax Number: | 7343316446 |
| Mailing Address: | 6040 Edmund St, ROMULUS |
| State: | MI |
| Postal Code: | 481744449 |
| Phone Number: | 3130067473 |
| Fax Number: | 7343316446 |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 4704222301 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |