Individual
TONYA MAE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15249 PRESTON RD APT 1094, DALLAS, TX 75248-4820
(817) 986-2829
Mailing address
15249 PRESTON RD APT 1094, DALLAS, TX 75248-4820
(817) 986-2829
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
TX
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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