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Individual

REBECCA MAXINE SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1055 S WELLS AVE, RENO, NV 89502-2550
(775) 329-6300
Mailing address
680 S ROCK BLVD, RENO, NV 89502-4113

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1756
NV
363A00000X
Physician Assistant

Other

Enumeration date
07/13/2016
Last updated
02/22/2021
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