Individual
FRIEDA G SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10-G ST JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL 32086
(904) 794-0507
Mailing address
10-G ST JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL 32086
(904) 794-0507
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0025687
FL
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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