Individual
CHARLINE RAE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 CRESTWOOD, NORFOLK, NE 68701-7214
(402) 640-6079
Mailing address
125 CRESTWOOD, NORFOLK, NE 68701-7214
(402) 640-6079
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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