Individual
SPARKLE JOHNAE LOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 BUTTE STREET, A, REDDING, CA 96001
(530) 560-8376
Mailing address
2345 BUTTE STREET, A, REDDING, CA 96001
(530) 560-8376
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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