Individual
SANDRA SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7219 35TH PL NE, MARYSVILLE, WA 98270-7001
(425) 218-4020
Mailing address
7219 35TH PL NE, MARYSVILLE, WA 98270-7001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00175773
WA
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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