Provider Demographics
NPI:1598048365
Name:PARNELL, UNITA (HHP)
Entity Type:Individual
Prefix:
First Name:UNITA
Middle Name:
Last Name:PARNELL
Suffix:
Gender:F
Credentials:HHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16016 BABCOCK ST
Mailing Address - Street 2:169
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-4166
Mailing Address - Country:US
Mailing Address - Phone:858-212-4820
Mailing Address - Fax:
Practice Address - Street 1:16016 BABCOCK ST
Practice Address - Street 2:169
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-4166
Practice Address - Country:US
Practice Address - Phone:858-212-4820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23006225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist