Individual
LAURA ANN SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2437 E POPLAR DR UNIT 6, PINETOP, AZ 85935-7367
(928) 970-2300
Mailing address
2437 E POPLAR DR UNIT 6, PINETOP, AZ 85935-7367
(928) 970-2300
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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